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183 In an uncontrolled trial in 28 men with low sperm numbers, 100 mg shilajit extract daily for 90 days led to increased sperm numbers and motility

Samples were vortexed and held on ice (4 C) until the final time point, then vortexed again and centrifuged at 18,200 g for 10 min

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Less commonly, patients have reported pancreatitis and gallstones due to sluggish flow of intestinal fluids as well as bowel obstruction due to slowed intestinal motility

which is can be upsetting for patients