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The following confounding factors, i.e., gender, age, blood lactate level on admission, plasma VPA concentration on admission and SOFA score on admission were included in the propensity score calculation

As a dietary supplement, take 3-4 servings daily, preferably on an empty stomach or as directed by a medical professional

A high-caloric diet coupled with a sedentary lifestyle are the major contributing factors in the development of the insulin resistance and pancreatic -cell dysfunction

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In summary, the aforementioned information indicates that ATZ reduced the levels of FSH and LH hormones, which subsequently resulted in decreased testosterone levels, either through the induction of oxidative stress in the testes or by impairing steroidogenic genes, thereby disrupting spermatogenesis and compromising semen quality