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West Nile is a mosquito-borne illness that is prevalent across the US in some years, with an estimated 3 million people in the US having the disease by 2010.[ref] While the majority of people with West Nile virus are asymptomatic, about 20% of people will experience fever, headache, weakness, and muscle aches

Group 3 had significantly increased sperm parameters in all patients, with the exception of grade V varicocele

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| doi:10.1016/j.bbamcr.2016.01.023 Pooyandjoo M, Nouhi M, Shab-Bidar S, Djafarian K, Olyaeemanesh A.: The effect of (L-)carnitine on weight loss in adults: a systematic review and meta-analysis of randomized controlled trials