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78 A meta-analysis of findings from seven randomized controlled trials with a total of 693 participants found combined treatment with L-carnitine and acetyl-L-carnitine together improved sperm motility, increased the number of forward-moving and generally moving sperm, and increased pregnancy rate for men affected by infertility

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effects more modest than direct GH therapy) [6]

The country/region with the most publications was Peoples R China , where 898 papers were published, and the institution with the most publications was Univ Sao Paulo , publishing 115 papers