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L carnitine is available as a dietary supplement in the United States and is regulated by the FDA under the Dietary Supplement Health and Education Act (DSHEA), but it is not FDA-approved as a medication specifically for treating male infertility

Figure 3 Statements Author contributions All authors contributed to the article and approved the submitted version

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With an anatomic total shoulder replacement, the ball (humeral head) of the shoulder joint is replaced with an implant that includes a stem with a smooth, rounded metal head