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Brain peptides in Alzheimer's disease - pathophysiology and therapeutic advances | Cell and Tissue Research | Springer Nature Link

However, if low sperm count is caused by other factors like hormonal imbalances or structural issues, L carnitine alone may not be sufficient, and additional evaluation by a urologist or reproductive endocrinologist is recommended

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Adrenal or thyroid disease: DSIP can interact with HPA-axis signaling