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Although some studies have demonstrated that a high-altitude hypoxic environment can cause damage to male testicular reproductive function and negatively affect male semen quality, the specific mechanism is not completely clear

Ethical Approval The trial protocol was according to the Declaration of Helsinki as revised in 1989, and the study protocol was approved by the research and ethics committee at Hamadan University of Medical Sciences (IR.UMSHA.REC.1396.873)

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Radicular nerve pain One double-blind RCT comprising 64 patients with lower extremity radicular nerve pain compared the use of oral ALC (1180 mg/d) to the use of ALA (600 mg/d) with respect to total symptom score and electromyography (EMG)