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The combination of variants linked to a slightly increased risk of liver damage could add together to increase the risk more significantly

For example, antioxidants such as vitamin C or glutathione delivered by IV can reduce oxidative load, while HBOT further enhances tissue oxygenation and cellular recovery

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Furthermore, insulin deficiency may impair DNA repair mechanisms, contributing to nuclear DNA fragmentation, even if the overall sperm DNA fragmentation index is lower than in T2DM patients [9]