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Evaluating the effects of amantadin, modafinil and acetyl-L-carnitine on fatigue in multiple sclerosis--result of a pilot randomized, blind study

In summary, by interfering with epididymal epitheliumsperm interaction and exosome transfer, inflammation reduces the supply of maturation factors and causes qualitative abnormalities, thereby laying the foundation for subsequent declines in capacitation and motility (61, 62)