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However, spermatogonia loss was higher than Sertoli and Leydig cell loss after busulfan exposure (39) and because the status of spermatic germ cells depends on Leydig and Sertoli cells function, apoptosis of these supporting cells can also endanger vitality of spermatic germ cells (46)

Energy support: Clinical studies in dialysis patients show reduced fatigue and improved well-being with parenteral L-Carnitine [5]

Smoking: Cigarette smoking is one of the most well-documented negative influences on male fertility