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In addition, under hyperglycemic conditions, disrupted glucose metabolism pathways generate a large number of metabolic byproducts (such as dihydroxyacetone, lactate, etc.), which, through oxidative stress, further damage the cells and genes involved in spermatogenesis [220,221,222]

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Similarly, we proposed to continue to calculate OPPS outlier eligibility and outlier payment based on the reduced payment rates for those hospitals that fail to meet the reporting requirements