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By facilitating removal of potentially toxic acyl groups and stabilizing cellular membranes, levocarnitine may support metabolic flexibility and protects against accumulation of organic acids

in 2000 about the effects of acetyl-L-carnitine on plasma membrane and sperm motility in semen samples of 41 men before freezing-thawing revealed that acetyl-L-carnitine could not prevent cryodamage to the membrane or motility integrity in human spermatozoa of subfertile men (87)

However, there is no clear understanding of the exact mechanism of action of reductive stress on male reproduction, and further research is required