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Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group

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[Double-blind, randomized placebo-controlled study of efficiency and safety of complex acetyl-L-carnitine, L-carnitine fumarate and alpha-lipoic acid (Spermactin Forte) for treatment of male infertility]

Educate your doctor

And honestly, its something that very few people should actually consider using

The containers are sealed immediately after filling to ensure that the contents remain sterile