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However it should be noted that according to Stanley [168], over the past 40 years, there have been only two clear examples of disorders directly due carnitine deficiency that have provided evidence of unequivocal benefit from carnitine treatment

83.5 6.2 g/dL at 3 months of supplementation)

This is particularly relevant given the established association between systemic inflammation and erectile dysfunction in the broader literature, although its specific contribution in the context of varicocele remains to be clarified (74)

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