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L carnitine is available as a dietary supplement in the United States and is regulated by the FDA under the Dietary Supplement Health and Education Act (DSHEA), but it is not FDA-approved as a medication specifically for treating male infertility

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Pathway analyses of differential genomic occupancy for both epigenetic marks showed enrichment in several inflammatory pathways, including TNF superfamily cytokine production, IL-6-mediated signaling, LPS-mediated signaling, Toll-like receptor signaling, cytokine production, type II interferon production and chemokine-mediated signaling (Extended Data Fig

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