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Improper storage, expired bacteriostatic water, or temperature excursions degrade MOTS-c activity irreversibly
196,197 It is important to note that couples who have used timed intercourse unsuccessfully for five consecutive cycles are unlikely to become pregnant without other interventions
These categories should not be treated as interchangeable
For example, most men taking exogenous androgens (like testosterone injections) have profound decreases in sperm production, but a relatively small percentage ( 6 months) use can lead to decreases in sperm counts and quality in some men
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