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parasites are capable of expanding regulatory immune cell populations 4,5,6,7,8,9,10 , inducing apoptosis in CD4 + Th1 cells 11,12,13,14 , manipulating pattern recognition receptor (PRR) signaling in those cells that recognize parasite infection 15,16,17,18,19,20,21 , and enhancing the general environment of regulatory and anti-inflammatory cytokines, including IL-4 and IL-10 22,23,24

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This study found that carnitine had a positive effect on sperm count and motility, especially in patients with more severe disorders

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One of the challenges they face is the need for long-term follow-up