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This combination approach contributed to the successful pregnancy of the couple, emphasizing the therapeutic potential of L-carnitine and acetyl-L-carnitine in male infertility, particularly in cases of teratozoospermia and ART failure

43 Thus, the characteristics of this series of patient are consistent with the notion that the systemic abnormalities seen in this subgroup of ASD patients may arise from environmental triggers 7 in genetically sensitive subpopulations