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N Engl J Med 2011;364:11-21.ArticlePubMed 6

Enclomiphene citrate or Enclomiphene is a selective estrogen receptor modulator (SERM), known for its ability to influence hormonal activity

J.ZhangY.et al (2020)

Improves Male Fertility : Some research has suggested that L-carnitine can improve sperm quality, motility, and count, potentially enhancing male fertility

Making some simple lifestyle changes and supplementing with a semaglutide alternative might be all you need to avoid nausea and other GLP-1 side effects.

Kusumoto, D