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Due to the exhaustion of cellular and extracellular GSH caused by numerous GSH-consuming pathways the severe inflammation and oxidative stress triggered by the viral infection steals GSH from crucial functions like NO-dependent vasodilatation, disallowing the patient of being protected from an inflammation that can become fatal

Elevated iron levels were associated with these causes of testicular injury

However, despite its immunosuppressive potency, this regimen can lead to CMV reactivation, with greater specific mortality.77,78 Other immunosuppressive agents have been proposed as corticosteroid-sparing agents or their substitutes, in cases of contraindication

However, ovulation triggering improves fertilization rates and embryo quality (Nazari et al., 2020)