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This phenomenon may be attributed to two primary factors: first, the high quality sperm obtained through PureSperm density gradient centrifugation may play a crucial role, which has been demonstrated to significantly reduce apoptotic sperm and cellular debris while maintaining a viable sperm recovery rate exceeding 85% [47], second, the supplementation of Vit A and Lup may effectively enhance sperm motility, plasma membrane integrity, acrosome integrity, and antioxidant capacity while reducing sperm apoptosis levels

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Lower levels of exercise are also observed among young adults and adults, with only one third of young adults meeting the recommended physical activity guidelines