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Overall, some studies did not find significant differences (six studies) (190192, 194, 208, 214), but some showed lower seminal plasma Se levels in infertile men, men with abnormal sperm parameters, or inflammation, compared to fertile/normozoospermic/healthy men (five studies) (172, 199, 203, 206, 207)

Even with refrigeration, always inspect your medication before each use for any signs of degradation such as cloudiness or discoloration that might indicate compromised effectiveness

However, avoid combining with strong acids like retinol or AHAs initially, as this can increase irritation risk

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