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10.1038/tp.2013.119 Transl

(2024) confirmed dose-dependent body-weight and fat-mass reduction over a longer treatment window, with improvements in fatty-liver markers

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177 A controlled trial found all participants who had undergone surgery for varicocele had improvements in sperm parameters, but those given 600 mg alpha-lipoic acid per day for 80 days had greater improvement in sperm motility than those given placebo

and consider CBT

Wang XL, Feng ST, Wang ZZ et al (2021) Parkin, an E3 ubiquitin ligase, plays an essential role in mitochondrial quality control in Parkinsons disease