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doi: 10.1016/S2213-8587(18)30104-9

This is less common with micronized creatine, which dissolves much more easily in liquids than non-micronized forms, but some people may still notice a difference

On top of that, insulin resistance and chronic inflammation, both common with obesity, can make things worse by reducing sperm quality and further lowering testosterone

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Additionally, C-incubation time (min) demonstrates a moderate effect with a p-value of 0.0284