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Furthermore, safety data were collected using different methods, such as check boxes questionnaires, open format questionnaires, or verbal questioning, which may also have contributed to heterogeneity across safety outcomes

Therefore, extracellular cysteines need to be obtained by the reverse transporter system x c - (Dixon et al., 2014)

Overall, some studies did not find significant differences (six studies) (190192, 194, 208, 214), but some showed lower seminal plasma Se levels in infertile men, men with abnormal sperm parameters, or inflammation, compared to fertile/normozoospermic/healthy men (five studies) (172, 199, 203, 206, 207)

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