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Due to financial and time constraints, it was not possible to take L-carnitine supplementation for at least 3 months before the ART cycle, so it can be the limitation of the present study

Clinicians should also note that peptide compounds purchased outside a licensed compounding pharmacy may not meet pharmaceutical-grade purity standards, adding contamination risk that no mechanism discussion can offset

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Most common doses fall in the easy-to-read range of 5-25 units

As spatial and functional mapping of macrophages continues to evolve, integrating these insights into clinical strategies will be critical for enhancing the efficacy of existing and emerging immunotherapies