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Study Entry Criteria Based on WHO criteria, an abnormal spermogram was defined as follows in at least two samples taken four weeks apart: Sperm count less than 20 million per milliliter Total sperm motility less than 50% Forward sperm motility less than 25% Normal sperm morphology less than 30% Normal levels of gonadotropins, testosterone, and prolactin Study Exclusion Criteria Underlying conditions like varicocele grades 3 and 4, testicular atrophy, ejaculation disorders Any medication use in the past two months Patients with azoospermia, endocrine or anatomical disorders, or infections Patients eligible for ICSI due to severe spermogram disorders and other infertility factors Sample Size The sample size was set at 30 participants based on previous studies

The key mechanisms by which diet modulates the gutbrain axis are summarised in Table 1 and illustrated in Fig

These drugs are not genericdosage generally begins low and is slowly titrated up under medical guidance to permit the body to adjust

What to do to keep your mental health in check Access mental health resources and practice stress management techniques to help you manage your mental health