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Unexplained weight loss Recurrent infections Persistent worsening fatigue Enlarged lymph nodes Early evaluation is crucial

However, high concentrations of NO and heat-induced nitric oxide synthase (iNOS), an enzyme involved in the production of NO, have been shown to be increased in infertile patients compared to fertile ones and responsible for sperm DNA damage and decreased sperm motility [57,58]

R.BarnhartH.WatkinsP

This short report lacked details, including the amount of B12 provided to the mothers

Dong X-x, Wang Y, Qin Z-h
