l carnitine function transports long chain fatty acids into mitochondria TRANSPORT AND ACID OXIDATION Carnitine Metabolism and Its Role

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Oxidative stress gives rise to testicular tissue damages via DNA damage and increased lipid peroxidation in the long-chain polyunsaturated fatty acids of the testicle tissue [48]

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A sensitivity analysis after removal of these two studies showed homogeneity between the remaining studies but the meta-analysis still showed no significant effects of carnitines on sperm concentration (MD 0.79, 95% CI 0.39 to 1.96