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The OCCT may serve as a tool for directing a personalized carnitine intake because the biological fate of orally ingested carnitine varies interpersonally by gut microbiota and may cause paradoxical biological effects in patients [11]

Insulin resistance during pregnancy can lead to gestational diabetes, which affects about 5-10 percent of pregnancies

18,59 Men with a history of infertility should consult their healthcare provider and follow general cancer screening recommendations appropriate for their age and health status

Acknowledgements This study was supported by grants from the Ministry of Science and Technology of Taiwan (MOST105-2628-B-038-010-MY3