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Firstly, the main strength is the long study follow-up (15 months), which allows for gathering information about potential changes in patients QoL in response to long-term ALC treatment, usually not be easily detectable in studies with shorter observation periods

As of mid-2017, almost 100 clinical trials in humans have been registered to test combinations of radiotherapy and checkpoint inhibitors, and laboratory studies have been critical in helping understand the promises of this approach (Schaue 2017)

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Moreover, the L-Carnitine treatment group exhibited improved sperm concentration and reduced sperm abnormalities, indicating the potential of L-Carnitine to ameliorate the negative effects of hyperlipidemia on male reproductive health
