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Future research is warranted to validate proposed treatment algorithms, refine clinical subtypes of CHE, and explore long-term efficacy of emerging therapies [5, 66, 75, 107]

Intriguingly, both Sertoli cells and germ cells express L-CPT I and M-CPT I, implying that carnitine might travel from the bloodstream to Sertoli cells and germ cells

As a key antioxidant, GSH supports innate immunity by modulating redox-sensitive pathways involved in inflammation and host defense (6)

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