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High doses of caffeine and sugar can raise cortisol, narrow blood vessels, and increase oxidative stress a buildup of free radicals that damages sperm DNA
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[DOI] [PMC free article] [PubMed] [Google Scholar] 17.Dubelaar ML, Lucas CM & Hulsmann WC (1991) Acute effect of l-carnitine on skeletal muscle force tests in dogs

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Cells were seeded at a density of 1.5 10 4 cells/well, and then treated with lenvatinib (0.1 or 1 M) and/or L-carnitine (1.6, 6.4, or 25.6 mM) for 16 h
