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Description
Sperm cells depend heavily on fatty-acid oxidation for motility

Use in conjunction with exercise program

10.1016/j.neuropharm.2004.06.032 Neuropharmacology 25 DuchanE.PatelN

No clinically relevant differences in elvitegravir or cobicistat pharmacokinetics were observed between subjects with moderate hepatic impairment and healthy subjects [see Use In Specific Populations ]

Starting with a lower dose and taking with food can help avoid this
