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The FDA's own scientists raised those concerns explicitly and were outvoted by a narrowly divided committee

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191 In one randomized controlled trial that included 175 men with infertility, taking a supplement providing 1 gram L-carnitine and 0.5 grams acetyl-L-carnitine, as well as 725 mg fumarate, 1 gram fructose, 50 mg citric acid, 10 mg zinc, 20 mg CoQ10, 50 mcg selenium, 90 mg vitamin C, 200 mcg folic acid, and 1.5 mcg B12, twice daily improved sperm motility, semen volume, and DNA fragmentation compared with placebo after six months

Moneim A, Tayel D, Zeid A, Darwish O, Matrawy K, Mohamed E (2018) Dietary intervention in clinical improvement of nonalcoholic fatty liver patients