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Laboratories [well, NHS labs in the UK] have very sophisticated error-trapping routines

PNAS 2018] SUMMARY OF PAIN MEDICATION USE There is ample evidence that long-term narcotic use is detrimental to sperm quality, though short-term use of these medications for an acute event (such as recovery after a surgical procedure) likely has no significant impact

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Yes, L-carnitine can have side effects in rare instances when it's ingested in heavy doses