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Losing excess weight, as obesity is independently associated with higher sperm DNA damage

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They may recommend the initiation of sodium phenylacetate/sodium benzoate (ammonia scavengers) and L-arginine in an attempt to provide alternative methods for nitrogen excretion and override the OTC defect at the initial step of the urea cycle or to treat undifferentiated inborn errors of metabolism ( Figure 4 )

Higgins JP, Green S: Cochran Handbook for Systematic Review of Interventions: Assessing Risk of Bias in Included Studies