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10.1136/thoraxjnl-2012-203178 229

Micronutrients such as coenzyme Q10 and L-carnitine are essential for the energy metabolism of sperm and thus ensure that the cells are highly mobile

An allergic rash spreads beyond the injection site, may involve itching or burning, and can worsen over time

Injection site reactions include pain, redness, itching or raised rubbery lumps

Atractylodes macrocephala exhibits anti-hyperuricemic and anti-inflammatory properties in animal models, reducing IL-1 and TNF- levels while activating AMPK/SIRT1 signaling and suppressing NF-B-mediated macrophage polarization toward pro-inflammatory phenotypes (Qian et al., 2023)