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In addition, as already mentioned, in US free-living men from California, with normal Se intake at the start, a diet with high Se intake (~200 g/day for ~100 days) decreased concentration and total number of sperm, the proportion of motile sperm, and increased the proportion of tailless sperm (185)

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However, this same mechanism makes passive eating nearly impossible for many patients, and high-protein foods often feel too filling to consume in adequate amounts

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