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Although as many as a third of patients with GBS receive additional treatment after the initial intervention, owing to persistent deterioration or lack of improvement after first-line therapy (60, 80), current evidence does not support this practice

This is consistent with the original description of the Johnsen scoring system, which emphasizes germ cell maturation rather than morphometric parameters 31

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Despite finding significant correlations between folic acid related gene (phosphatidylethanolamine N-methyltransferase M175V) and serum folic acid levels with male infertility, no significant relationship was detected with semen parameters

J., Agent, P
