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Each subject was assigned a random number from small to large according to the screening number on Day 1 and entered the corresponding group

ROS are indispensable for processes such as sperm capacitation, hyperactivation, and the acrosome reaction, which are essential for successful fertilization (5, 6)

Additionally, the appetite suppression may result in significantly lower caloric intake, which may contribute to fatigue, particularly if nutritional balance is not maintained

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