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Treatment should complement rather than replace lifestyle modifications, with multidisciplinary support including dietetic input, psychological support, and regular medical monitoring essential for optimal outcomes
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L-carnitine supplementation decreases post-exercise blood lactate levels and enhances aerobic capacity in trained individuals: Systematic review and meta-analysis
23,33 In one study, compared with 30-year-old men, 50-year-old men had a 22% lower sperm volume, 37% reduced sperm motility, and 18% fewer morphologically normal sperm
Prokinetic agents like metoclopramide present a theoretical option but should be used cautiously given potential adverse effects (including tardive dyskinesia with use beyond 12 weeks) and the counterintuitive nature of accelerating gastric emptying while using a medication that intentionally slows it
Diabetes Care 41 (10), 21362146
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