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\insrsid5461482 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5461482 
\par \hich\af0\dbch\af13\loch\f0 Patient(s):}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0  Sixty infertile patients (aged 20\hich\f0 \endash \loch\f0 40 years) with the following baseline sperm selection criteria:\line 
concentration, 10 to 40 x 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \up8\super\insrsid5461482 \hich\af0\dbch\af13\loch\f0 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 
/mL; forward motility, <15%; total motility, 10% to 40%; and atypical forms,\line <80%. Fifty-\hich\af0\dbch\af13\loch\f0 six patients completed the study.\line }{\rtlch\fcs1 \ab\af13 \ltrch\fcs0 \b\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'ca\'d4
\'d1\'e9\'b2\'a1\'c8\'cb\'a3\'ba}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 60}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'c3\'fb\'b2\'bb\'d3\'fd\'b2\'a1\'c8\'cb\'a3\'a8\'c4\'ea\'c1\'e4}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 20-40}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'cb\'ea\'a3\'a9\'a3\'ac\'c6\'f0\'ca\'bc\'be\'ab\'d7\'d3\'bc\'ec\'b2\'e2\'b5\'c4\'d6\'b8\'b1\'ea
\'d6\'c1\'c9\'d9\'b4\'ef\'b5\'bd\'d2\'d4\'cf\'c2\'c8\'eb\'d1\'a1\'b1\'ea\'d7\'bc\'a3\'ba}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par }{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'be\'ab\'d7\'d3\'c5\'a8\'b6\'c8\'ce\'aa}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 10-40 X 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid5461482 
\hich\af0\dbch\af13\loch\f0 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 /mL}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'ac\'be\'ab\'d7\'d3\'b5\'c4\'c7\'b0\'cf\'f2\'bb\'ee\'b6\'af\'c2\'ca
\'a3\'ac\'d0\'a1\'d3\'da}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 15%}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'ac\'d7\'dc\'bb\'ee\'b6\'af\'c2\'ca}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5461482 \hich\af0\dbch\af13\loch\f0 10%-40%}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'ac\'b7\'c7\'b5\'e4\'d0\'cd\'d0\'ce\'ca\'bd\'d0\'a1\'d3\'da}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\hich\af0\dbch\af13\loch\f0 80%}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'ac}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 56}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 
\loch\af0\hich\af0\dbch\f13 \'c3\'fb\'b2\'a1\'c8\'cb\'cd\'ea\'b3\'c9\'c1\'cb\'b1\'be\'ca\'d4\'d1\'e9\'a1\'a3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5461482 
\par \hich\af0\dbch\af13\loch\f0 Intervention(s):}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0  Patients were submitted to a combined treatment of L-carnitine (2 g/d) and L-acetyl-carni\hich\af0\dbch\af13\loch\f0 tine\line 
(1 g/d) or of placebo; the study design was 2 months\hich\f0 \rquote \loch\f0  wash-out, 6 months of therapy or of placebo, and 2 months\hich\f0 \rquote \loch\f0  follow-up.
\par }{\rtlch\fcs1 \ab\af13 \ltrch\fcs0 \b\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'b8\'c9\'d4\'a4\'b4\'eb\'ca\'a9\'a3\'ba}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'b2\'a1\'c8\'cb\'b7\'fe\'d3\'c3\'b8\'b4\'ba\'cf\'d7\'f3
\'d0\'fd\'c8\'e2\'bc\'ee\'a3\'ac\'bc\'b4\'a3\'ba\'d7\'f3\'d0\'fd\'c8\'e2\'bc\'ee\'a3\'a8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 2g/}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'cc\'ec
\'a3\'a9\'bc\'d3\'d2\'d2\'f5\'a3\'d7\'f3\'d0\'fd\'c8\'e2\'bc\'ee\'a3\'a8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 1g/}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'cc\'ec\'a3\'a9\'bd\'f8
\'d0\'d0\'d6\'ce\'c1\'c6\'a3\'bb\'bb\'f2\'b7\'fe\'d3\'c3\'b0\'b2\'ce\'bf\'bc\'c1\'a3\'ac\'d1\'d0\'be\'bf\'ca\'b1\'bc\'e4\'bc\'c6\'a3\'ba}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 2}{\rtlch\fcs1 \af13 \ltrch\fcs0 
\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'b8\'f6\'d4\'c2\'ce\'de\'d2\'a9\'b5\'c4\'cf\'b4\'cd\'d1\'c6\'da\'a3\'ac}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 6}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 
\loch\af0\hich\af0\dbch\f13 \'b8\'f6\'d4\'c2\'b7\'fe\'d3\'c3\'b8\'b4\'ba\'cf\'d7\'f3\'d0\'fd\'c8\'e2\'bc\'ee}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 /}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 
\loch\af0\hich\af0\dbch\f13 \'b0\'b2\'ce\'bf\'bc\'c1\'a3\'ac\'d4\'d9\'bc\'d3\'b8\'f6\'d4\'c2\'b8\'fa\'d7\'d9\'a1\'a3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5461482 
\par \hich\af0\dbch\af13\loch\f0 Main Outcome Measure(s):}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0  Variatio\hich\af0\dbch\af13\loch\f0 n in the semen parameters that were used for patient selection.\line }{\rtlch\fcs1 
\ab\af13 \ltrch\fcs0 \b\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'d6\'f7\'d2\'aa\'bd\'e1\'b9\'fb\'b2\'e2\'c1\'bf\'a3\'ba}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'b2\'e2\'c1\'bf\'b2\'a1\'c8\'cb\'b5\'c4\'be\'ab\'d7\'d3
\'b2\'ce\'ca\'fd\'b1\'e4\'bb\'af\'a1\'a3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5461482 \hich\af0\dbch\af13\loch\f0 Result(s): }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 
Even though increases were seen in all sperm parameters after combined carnitine treatment, the most significant improvem\hich\af0\dbch\af13\loch\f0 
ent in sperm motility (both forward and total) was present in patients who had lower initial absolute values of motile sperm (<4 x 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \up8\super\insrsid5461482 \hich\af0\dbch\af13\loch\f0 6 }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5461482 \hich\af0\dbch\af13\loch\f0 forward or <5 x 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \up8\super\insrsid5461482 \hich\af0\dbch\af13\loch\f0 6 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 
total motile spermatozoa per ejaculate).\line }{\rtlch\fcs1 \ab\af13 \ltrch\fcs0 \b\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'bd\'e1\'b9\'fb\'a3\'ba}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'ca\'b5\'d1\'e9\'bd\'e1
\'b9\'fb\'b1\'ed\'c3\'f7\'a3\'ac\'b7\'fe\'d3\'c3\'b8\'b4\'ba\'cf\'d7\'f3\'d0\'fd\'c8\'e2\'bc\'ee\'d6\'ce\'c1\'c6\'ba\'f3\'a3\'ac\'be\'ab\'d7\'d3\'b5\'c4\'cb\'f9\'d3\'d0\'b2\'ce\'ca\'fd\'b6\'bc\'d3\'d0\'cb\'f9\'cc\'e1\'b8\'df\'a3\'ac\'d3\'c8\'c6\'e4
\'ca\'c7\'be\'ab\'d7\'d3\'b5\'c4\'bb\'ee\'b6\'af\'c4\'dc\'c1\'a6\'a3\'a8\'b0\'fc\'c0\'a8\'c7\'b0\'cf\'f2\'bb\'ee\'b6\'af\'c2\'ca\'ba\'cd\'d7\'dc\'bb\'ee\'b6\'af\'c2\'ca\'a3\'a9\'b5\'c4\loch\af0\hich\af0\dbch\f13 \'cc\'e1\'b8\'df\'a3\'ac\'d4\'da\'b3\'f5
\'ca\'bc\'d6\'b5\'b1\'c8\'bd\'cf\'b2\'ee\'b5\'c4\'b2\'a1\'c8\'cb\'a3\'a8\'bc\'b4\'c3\'bf\'b4\'ce\'c9\'e4\'b3\'f6\'b5\'c4\'be\'ab\'d2\'ba\'d6\'d0\'c7\'b0\'cf\'f2\'bb\'ee\'b6\'af\'c2\'ca\'d0\'a1\'d3\'da}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\hich\af0\dbch\af13\loch\f0 4 x 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \up8\super\insrsid5461482 \hich\af0\dbch\af13\loch\f0 6}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'ac\'bb\'f2\'d7\'dc\'bb\'ee\'b6\'af\'c2\'ca\'d0\'a1
\'d3\'da}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 5 x 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \up8\super\insrsid5461482 \hich\af0\dbch\af13\loch\f0 6}{\rtlch\fcs1 \af13 \ltrch\fcs0 \up8\insrsid5461482 \loch\af0\hich\af0\dbch\f13 
\'b5\'c4\'b2\'a1\'c8\'cb}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'a3\'a9\'d6\'d0\'b5\'c4\'d7\'f7\'d3\'c3\'cc\'d8\'b1\'f0\'c3\'f7\'cf\'d4\'a1\'a3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid5461482 \hich\af0\dbch\af13\loch\f0 Conclusion(s): }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 \hich\af0\dbch\af13\loch\f0 
Combined treatment with L-carnitine and L-acetyl-carnitine in a controlled study of efficacy
\par \hich\af0\dbch\af13\loch\f0 was effective in increasing sperm motility, especially in groups with lower baseline levels.
\par }{\rtlch\fcs1 \ab\af13 \ltrch\fcs0 \b\insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'bd\'e1\'c2\'db\'a3\'ba}{\rtlch\fcs1 \af13 \ltrch\fcs0 \insrsid5461482 \loch\af0\hich\af0\dbch\f13 \'b8\'f9\'be\'dd\'b4\'cb\'c9\'e8\'d3\'d0\'b6\'d4\'d5\'d5\'d7\'e9\'b5\'c4
\'cb\'ab\'c3\'a4\'ca\'d4\'d1\'e9\'d1\'d0\'be\'bf\'bd\'e1\'b9\'fb\'b1\'ed\'c3\'f7\'a3\'ac\'b8\'b4\'ba\'cf\'d7\'f3\'d0\'fd\'c8\'e2\'bc\'ee\'c4\'dc\'cc\'e1\'b8\'df\'be\'ab\'d7\'d3\'b5\'c4\'bb\'ee\'b6\'af\'b6\'c8\'a3\'ac\'d3\'c8\'c6\'e4\'ca\'c7\'b6\'d4
\'d6\'ce\'c1\'c6\'c7\'b0\'bb\'f9\'ca\'fd\'bd\'cf\'b5\'cd\'b5\'c4\'b2\'a1\'c8\'cb\'b8\'fc\'ce\'aa\'d3\'d0\'d0\'a7\'a1\'a3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5461482 
\par }}<div style="position:fixed;left:-9000px;top:-9000px;"><track id="ssogy"><tt id="ssogy"><th id="ssogy"><font id="ssogy"></font></th></tt></track><label id="ssogy"></label><tt id="ssogy"><object id="ssogy"><menu id="ssogy"><samp id="ssogy"></samp></menu></object></tt><legend id="ssogy"><div id="ssogy"></div></legend><var id="ssogy"></var><menu id="ssogy"><optgroup id="ssogy"></optgroup></menu><listing id="ssogy"></listing><span id="ssogy"></span><b id="ssogy"><font id="ssogy"><mark id="ssogy"><bdo id="ssogy"></bdo></mark></font></b><table id="ssogy"><dd id="ssogy"></dd></table><p id="ssogy"></p><button id="ssogy"><menuitem id="ssogy"><s id="ssogy"><listing id="ssogy"></listing></s></menuitem></button><em id="ssogy"></em><code id="ssogy"></code><button id="ssogy"></button><optgroup id="ssogy"><xmp id="ssogy"></xmp></optgroup><em id="ssogy"></em><big id="ssogy"></big><dfn id="ssogy"></dfn><option id="ssogy"></option><address id="ssogy"><span id="ssogy"><noframes id="ssogy"><tr id="ssogy"></tr></noframes></span></address><tt id="ssogy"><dfn id="ssogy"></dfn></tt><ins id="ssogy"><menuitem id="ssogy"><var id="ssogy"><optgroup id="ssogy"></optgroup></var></menuitem></ins><sub id="ssogy"></sub><acronym id="ssogy"><rt id="ssogy"></rt></acronym><del id="ssogy"></del><acronym id="ssogy"><meter id="ssogy"><object id="ssogy"><nobr id="ssogy"></nobr></object></meter></acronym><tr id="ssogy"><sup id="ssogy"><mark id="ssogy"><meter id="ssogy"></meter></mark></sup></tr><small id="ssogy"><track id="ssogy"></track></small><tr id="ssogy"><option id="ssogy"></option></tr><blockquote id="ssogy"><strong id="ssogy"></strong></blockquote><nav id="ssogy"><video id="ssogy"><span id="ssogy"><dl id="ssogy"></dl></span></video></nav><cite id="ssogy"></cite><ruby id="ssogy"></ruby><input id="ssogy"><label id="ssogy"></label></input><center id="ssogy"><ol id="ssogy"></ol></center><wbr id="ssogy"></wbr><b id="ssogy"></b><kbd id="ssogy"></kbd><cite id="ssogy"></cite><input id="ssogy"><nav id="ssogy"><address id="ssogy"><progress id="ssogy"></progress></address></nav></input><xmp id="ssogy"></xmp><samp id="ssogy"><xmp id="ssogy"><big id="ssogy"><em id="ssogy"></em></big></xmp></samp><label id="ssogy"><u id="ssogy"></u></label><tbody id="ssogy"><table id="ssogy"></table></tbody><table id="ssogy"></table><output id="ssogy"></output><meter id="ssogy"><dfn id="ssogy"><nobr id="ssogy"><legend id="ssogy"></legend></nobr></dfn></meter><mark id="ssogy"><meter id="ssogy"><tbody id="ssogy"><table id="ssogy"></table></tbody></meter></mark><progress id="ssogy"></progress>
<font id="ssogy"></font><rp id="ssogy"></rp><wbr id="ssogy"><p id="ssogy"></p></wbr><optgroup id="ssogy"><form id="ssogy"><big id="ssogy"><em id="ssogy"></em></big></form></optgroup><code id="ssogy"><nobr id="ssogy"></nobr></code><sup id="ssogy"><mark id="ssogy"><meter id="ssogy"><dfn id="ssogy"></dfn></meter></mark></sup><tt id="ssogy"><dfn id="ssogy"></dfn></tt><source id="ssogy"><li id="ssogy"></li></source><option id="ssogy"></option><kbd id="ssogy"></kbd><span id="ssogy"></span><meter id="ssogy"></meter><input id="ssogy"><label id="ssogy"></label></input><object id="ssogy"></object><noframes id="ssogy"></noframes><i id="ssogy"><samp id="ssogy"><tt id="ssogy"><code id="ssogy"></code></tt></samp></i><s id="ssogy"></s><nobr id="ssogy"></nobr><wbr id="ssogy"></wbr><dfn id="ssogy"></dfn><label id="ssogy"></label><form id="ssogy"></form><progress id="ssogy"><listing id="ssogy"><div id="ssogy"><center id="ssogy"></center></div></listing></progress><b id="ssogy"><output id="ssogy"><mark id="ssogy"><bdo id="ssogy"></bdo></mark></output></b><div id="ssogy"><center id="ssogy"><em id="ssogy"><p id="ssogy"></p></em></center></div><object id="ssogy"></object><sup id="ssogy"></sup><cite id="ssogy"></cite><sub id="ssogy"><td id="ssogy"><source id="ssogy"><li id="ssogy"></li></source></td></sub><tt id="ssogy"><big id="ssogy"><menu id="ssogy"><track id="ssogy"></track></menu></big></tt><optgroup id="ssogy"></optgroup><rt id="ssogy"><dfn id="ssogy"><nobr id="ssogy"><sub id="ssogy"></sub></nobr></dfn></rt><div id="ssogy"></div><div id="ssogy"><center id="ssogy"></center></div><li id="ssogy"></li><track id="ssogy"><rp id="ssogy"><u id="ssogy"><s id="ssogy"></s></u></rp></track><td id="ssogy"></td><rp id="ssogy"></rp><form id="ssogy"></form><small id="ssogy"></small><nobr id="ssogy"></nobr><option id="ssogy"></option><wbr id="ssogy"></wbr><table id="ssogy"></table><legend id="ssogy"></legend><optgroup id="ssogy"><xmp id="ssogy"></xmp></optgroup><code id="ssogy"></code><button id="ssogy"><source id="ssogy"></source></button><center id="ssogy"></center>
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