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18,19 Advances in genetic sequencing technologies have led to the discovery of nearly 40 genes that may play a contributing role in male infertility due to azoospermia

We did not find differences in the proportion of patients with low, normal, or high plasma vitamin B12 and methylmalonic acid levels between the two groups

These mechanisms collectively showcase VIPs efficacy in treating inflammatory diseases, respiratory conditions, and neurodegenerative disorders

Treatment plans should be tailored to individual comorbidities, response to therapy, and the presence of side effects (13)

Ethics declarations Ethics approval and consent to participate This study received approval from the Institutional Review Board (IRB) of the Federal University of Minas Gerais (UFMG) (CAAE3768820.1.0000.5149)