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In an open uncontrolled trial in 20 men with idiopathic infertility and a low testosterone-to-estrogen ratio, three months of treatment with letrozole resulted in improved sperm motility and morphology, reduced sperm DNA fragmentation, increased testosterone-to-estrogen ratio, and four spontaneous pregnancies

In reality, FMT is a process of stool transplanting, whereby fecal material from a donor dog is inserted into the colon of the patient, usually directly into the rectum by a well-trained veterinarian who personally has examined the patient and has diagnosed a disorder for which FMT is an appropriate treatment

A Certificate of Analysis is the lab report that tells you what is actually in the vial

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He et al., 2018)