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The primary concern is the combined glucose-lowering effects of these drugs

The theoretical benefit of levocarnitine in the exercise context relates to L-carnitine well-documented role in exercise metabolism

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Furthermore, multiple studies have demonstrated that heat stress-induced spermatogenic dysfunction 209 is closely associated with germ cell apoptosis, which displays both cell-type- and stage-specific 210 characteristics (Figure 1c) (Lue et al., 1999