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Therefore, insulin-like growth factor-1 (IGF-1) levels are high in the normal range

Clinical Interpretation Mechanistic Integration The observed fertility improvements in patients receiving GLP-1 RAs are best interpreted as secondary to restored metabolic homeostasis

A Cochrane review of antioxidant supplementation for male infertility found that NAC was among the most effective agents for improving sperm parameters (Smits et al., Cochrane Database Syst Rev, 2019) [70]