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They suggested sialidase can affect the concentration of sperm associated with sialic acid.26 In seminal plasma, positive correlation of pyruvate concentration with sialidase activity has been reported.26 Pyruvate can be used as a source of energy by the sperm cell in the presence of acetyl permease in seminal plasma.27 According to the results of Toit et al., 28 spermatozoal ATP concentrations showed a positive correlation with sperm-related sialic acid concentrations
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Most patients experience mild or no side effects at this dose
The key is to use the lowest effective volume and frequency to correct the deficiency or meet the metabolic need, and to adjust as the patients condition improves
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