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LC plays a crucial role in energy metabolism and has been shown to improve sperm motility, viability, and oxidative defense mechanisms 12

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All analyses were conducted in Stata software version 17, and p-values below 0.05 were considered statistically significant

20 Scarring and adhesions affecting one or both fallopian tubes can block movement of oocytes and sperm, preventing fertilization

The absence of widely accepted interpretive thresholds, clinical validation and regulatory standards further limits its integration into routine medical or public health practice