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4.4 Sleep disruption including jet lag, shiftwork, and sleep apnea contribute to impaired metabolism Shift work, where an individuals schedule overlaps with their typical sleep time, is linked to various health issues and contributes to the development of shift work disorder in approximately 25% of affected individuals

It has previously been reported that the use of human chorionic gonadotropin (hCG) in addition to selective estrogen receptor modulators (SERMs) such as clomiphene citrate have been shown to result in return of sperm to the ejaculate in testosterone-induced azoospermia [6] ( Figure 1 )

Nutrient interventions such as omega-3 fatty acids

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