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In refractory cases characterised by persistent azoospermia, assisted reproductive techniquesincluding testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI)may enable conception, although success depends on residual spermatogenic capacity (80)
Protein intake requires particular attention
High glucose availability limits the ability of fatty acids to get inside the mitochondria, so fatty acid oxidation goes down and the mitochondria predominantly oxidize glucose for energy
The choice of treatment depends on individual circumstances, diabetes type, glycaemic control, and maternal health priorities
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