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Additionally, when PEN2 is specifically knocked out in the gut, the ability of metformin to promote insulin and GLP-1 secretion is impaired (Ma et al., 2022)

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This model of diet-induced obesity is typically characterized by impaired sperm quality through increased DNA damage, increased testicular inflammation (due to a rise in TNF-, and monocyte chemoattractant protein-1), and abnormal sperm physiology [143]
