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Fertility potential remains good into the late 30s and early 40s for most men, but from around age 4045 onwards, studies show a gradual average decline in sperm quality, motility, and DNA integrity, as well as slightly higher risks of time to conception and certain pregnancy outcomes

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That circulating inflammatory load is what connects a digestive problem to symptoms most people would never associate with the gut, which is why repairing the barrier sometimes improves things that seem unrelated