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When combined, glutathione and selenium result in an enzyme found in spermatids - phospholipid hydroperoxide glutathione peroxidase, related to sperm motility

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Providers should assess growth trajectory, pubertal status, mental health, and psychological relationship with food before initiation

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Further longer term, larger scale and preferably multi-center studies are recommended to explore additional benefits, meanwhile it is prudent to advise L-carnitine supplementation for such patients