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The WHO (2021, 6th edition) defines the lower reference limit for normal total motility as 42%, with progressive motility at 30%, 19 and L-carnitine helps maintain sperm within this healthy range, which is particularly important for men with asthenospermia

Additionally, having unnecessary bacteria sit around in the intestines for an extended period of time allows for bacterial overgrowth to occur, and this can result in gut dysbiosis and SIBO

However, if lifestyle changes aren't enough and gallstones form and cause symptoms, surgical options can safely and permanently resolve the issue

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