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If you are already getting plenty of carnitine from your diet (by eating red meat and dairy), adding more via a supplement may not provide a significant boost

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These include increased liver enzymes, hepatitis, and jaundice

Mitochondrial dysfunction further exacerbates oxidative stress by impairing ATP production and damaging mitochondrial DNA, leading to compromised sperm motility and energy deficits

Fiber adds bulk to stool and encourages movement through the intestines