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doi: 10.1056/NEJMoa2307563

Obesity disrupts the HPG axis and reproductive hormone balance and raises oxidative stress levels, resulting in reduced sperm concentration, motility, and viability, as well as increased numbers of abnormal sperm

Diagram 3: Appetite pathway Therefore, show area postrema, brainstem, hypothalamus, reward system, reduced meal size, and prolonged fullness

Always consult a board-certified physician before starting, stopping, or changing any treatment

[15] During lactation, parenteral vitamin D markedly raises breast-milk concentrations and can support infant status, yet guidelines still advocate infant drops of 400 IU day and recommend maternal monitoring to ensure neither mother nor child approaches toxic thresholds