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In HPG axis terms, peptideinduced increases in IGF1 may blunt central inhibitory signals and re-establish more youthful gonadotropin rhythms

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(2025) found that at low concentrations, fluoxetine consistently reduced sperm motility while promoting fluctuations in cellular reactive oxygen species (ROS) levels and sperm capacitation, without affecting sperm viability, mitochondrial membrane potential, the acrosome reaction, or chromatin/DNA integrity as shown in Figure 1

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Understanding the root cause is key