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MALE INFERTILITY Research on male factor infertility demonstrates that sperm are vulnerable to reactive oxidative species (ROS) which can result in decreased motility (due to loss of mitochondria ATP production), decreased viability, increased mid-piece morphology, and reduced fertilization (sperm capacitation and acrosome reaction)

Only one study included follow-up beyond one year.31 The mean weight loss in the WMM groups during the active weight loss phase was 8.3 kg (95% CI 7.2 to 9.5) compared with 3.2 kg (2.5 to 3.9) in the control groups

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