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Major depressive disorder is characterized by an elevated Bacteroidetes/Firmicutes ratio ( Bacteroides and depletion of Blautia , Faecalibacterium , and Coprococcus , alongside increased abundance of Eggerthella and elevated levels of pro-inflammatory genera such as Escherichia ( 245)
As a result, sperm with dysfunctional mitochondria exhibit decreased motility and an inability to reach the oocyte, significantly reducing fertility potential
demonstrated that NAC, in comparison with l-carnitine, led to a significant increase in FSH levels (Reference El Sharkwy and Abd El Aziz24)
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