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It is important to note that the potential effect of carnitine on weight loss seems to be more pronounced when combined with physical exercise

If movement is weak, slow, or poorly directed, the chance of successful fertilisation may fall even when sperm count is not dramatically low

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British journal of cancer 86 (12): 18547

Because of these potential adverse effects, and the difficulty to adhere to the diet, different dietary formulations are being proposed to achieve a therapeutic effect with a more tolerable nutritional intervention (Dallrac et al., 2020)