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2018 meta-analysis: Three RCTs examining 13 g/day L-carnitine or ALCAR for 26 months in 201 men aged 2040 with infertility found supplemental carnitine improved sperm motility by 7.84% and morphology by 4.91% but did NOT affect sperm concentration [3][46]
Rather than acting through isolated taxa or single pathways, its effects are exerted through interconnected functional networks that can maintain homeostasis or, when disrupted, contribute to disease development and progression across both intestinal and extra-intestinal systems
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