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Healthcare professionals and patients are encouraged to report any suspected adverse reactions, contributing to ongoing pharmacovigilance efforts

[] demonstrated the effectiveness of combined L-carnitine and L-acetyl-carnitine therapy in improving sperm motility in infertile males with oligo-asthenic-teratozoospermia

Retrospective EHR-based studies can capture real-world associations, yet they are especially vulnerable to residual confounding, treatment-selection bias, differences in healthcare engagement, and unmeasured disease biology

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