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The Dietary Guidelines for Americans recommend 25-30 grams of fiber daily for women and 30-38 grams for men, with attention to fiber type: Soluble fiber (oats, psyllium, apples, beans) forms a gel that softens stools Insoluble fiber (wheat bran, vegetables, whole grains) adds bulk and promotes transit Patients should increase fiber gradually over 2-3 weeks to minimize bloating

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Furthermore, a recent study conducted has revealed that cadmium levels in seminal plasma were higher in infertile men with lower sperm quality, higher oxidative stress, and higher MT1A methylation (59)

doi: 10.5603/ARM.27994 48 MaralLERehderJNewburgerPECondino-NetoA