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Graham B, Wolff TW

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The entire series of pharmacological and non-pharmacological therapies given to the patient gave satisfactory results

Interestingly, in healthy men, low dietary Se intake (13 g/day for ~100 days) decreased serum, erythrocyte, and seminal plasma (but not sperm) Se concentrations, without influencing serum androgen, LH, and FSH concentrations, and decreased concentration and total number of sperm, increased the proportion of tailless sperm, but decreased the proportion of headless sperm (185)

Furthermore, blood tests track improvement or progression over time