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This phenomenon may be attributed to two primary factors: first, the high quality sperm obtained through PureSperm density gradient centrifugation may play a crucial role, which has been demonstrated to significantly reduce apoptotic sperm and cellular debris while maintaining a viable sperm recovery rate exceeding 85% [47], second, the supplementation of Vit A and Lup may effectively enhance sperm motility, plasma membrane integrity, acrosome integrity, and antioxidant capacity while reducing sperm apoptosis levels

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Lower levels of exercise are also observed among young adults and adults, with only one third of young adults meeting the recommended physical activity guidelines

The evidence did not establish effectiveness, and recognised evidence-based withdrawal treatments are available