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Additionally, IR can also impair mitochondrial function by disrupting oxidative phosphorylation pathways, leading to an increase in ROS, which in turn damages sperm DNA and proteins [7, 161]

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Superior reductions in HbA 1c (estimated treatment difference of 0.8%) (Fig

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The drivers behind these disparities are well-documented: structural racism, food insecurity, differential access to safe spaces for physical activity, and socioeconomic deprivation

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