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These systems include enzymatic antioxidants such as superoxide dismutase (SOD), catalase, and glutathione peroxidase, as well as non-enzymatic antioxidants like vitamins C and E, glutathione, and albumin ( When this balance is disrupted, however, oxidative stress occurs, leading to significant sperm dysfunction

increase in blood sugar (glucose) or diabetes

If yes, link below describes UK treatment for B12 deficiency with neuro symptoms

The effect of nutrients and dietary supplements on sperm quality parameters: a systematic review and meta-analysis of randomized clinical trials

It acts as a coenzyme in many metabolic processes involving fats, proteins, and carbohydrates

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