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Microbiology 149, 20232030 (2003)

These indicate that oral L-carnitine for more than 14 days impairs spermatogenesis in mice, and sudden discontinuation of administration results in substantial death of established spermatogenic cell populations

If constipation shows up, add fiber gradually and prioritize fluids and gentle movement

Eat Smaller, Frequent Meals: To avoid overwhelming your stomach, try eating four or five small meals instead of three large ones

People with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 should stay away from all these drugs