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Dietary supplementation with a novel l-carnitine multi-micronutrient in idiopathic male subfertility involving oligo-, astheno-, teratozoospermia: A randomized clinical study

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Hyperandrogenemia, altered leptin and other adipokine concentrations, and impaired granulosa cell function all contribute to menstrual irregularities by causing hypothalamic dysfunction, decreased folliculogenesis, and lower luteal progesterone levels [135,136,137]