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Furthermore, to clarify the role of L-carnitine in male fertility, in a randomized controlled trail in 2015, 20 couples with idiopathic oligoasthenozoospermia were admitted for treatment with L-carnitine (1000 mg/day ) for 3 to 6 months

Roseburia is known for its role in promoting the generation of gut anti-inflammatory regulatory T cells (31), while Phascolarctobacterium metabolizes succinate to generate propionate when in co-culture with Paraprevotella ( 32)

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This might include hormonal blood tests (testosterone, follicle-stimulating hormone, luteinising hormone, prolactin), scrotal ultrasound, genetic testing, or other specialised assessments