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Eur J Pediatr

1 According to a 2012 study, the application of nutraceuticals, or therapeutic nutritional compounds, in the field of erectile dysfunction and male sexual physiology remains relatively underexplored

In adults, low serum vitamin D is also associated with low sperm count, and changes in sperm morphology and sperm motility (Reference Heyden and Wimalawansa77)

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Renal carnitine loss may also affect the morphology and function of red blood cells and reduce the oxygen carrying and releasing capacity of red blood cells, thereby reducing tissue oxygen supply (including the kidney), and tissue hypoxia activates hypoxia-inducible factor 1 (HIF-1), which in turn reduces OCTN2 expression through the HIF-1-PPAR signaling pathway