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Quitting smoking is paramount , as it can damage sperm DNA and reduce count and motility, not to mention increase miscarriage risk for a partner

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Renal carnitine loss may also affect the morphology and function of red blood cells and reduce the oxygen carrying and releasing capacity of red blood cells, thereby reducing tissue oxygen supply (including the kidney), and tissue hypoxia activates hypoxia-inducible factor 1 (HIF-1), which in turn reduces OCTN2 expression through the HIF-1-PPAR signaling pathway

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This is important information for hair specialists to be aware of so that we can help patients with hair loss who may also develop side effects from other treatments they are using