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It is important for a healthcare provider to assess the cause of elevated levels

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Transl Androl Urol 2020;9(Suppl 2):S269-S283

Given the potential of reduced gliotoxin to thiolate cellular proteins, we speculate that reduced gliotoxin may be sequestered into intracellular vesicles where it is converted to the oxidized form, by an unidentified activity, prior to release from the cell by an exocytotic mechanism complementary to GliA-mediated efflux (Figure 7)

As a result, testes stop producing testosterone, leading to low endogenous testosterone levels, low sperm count and eventually infertility