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One study found that men and people assigned male at birth who had trouble with infertility improved their semen quality when they took NAC alone or with selenium

(2004) Determinants of survival in treated acromegaly in a single center: predictive value of serial insulin-like growth factor I measurements

High orotic acid levels can be caused by: Arginine deficiency [3, 4, 6] Refeeding after fasting [7] Impaired liver function due to alcohol, drugs (such as valproic acid), liver disease or viral liver infection [8, 5, 9, 10, 11, 12] Physical trauma [13] Inborn errors of urea cycle metabolism [4, 14] If your levels are abnormal, work with your doctor to find out whats going on in order to properly treat the underlying condition

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