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A primary hyperfunctional adrenal pathology, or neoplasms, including small cell carcinomas, may also lead to aberrantly high levels of corticosteroids

[DOI] [PubMed] [Google Scholar] 9.Belambri S.A., Rolas L., Raad H., Hurtado-Nedelec M., Dang P.M., El-Benna J

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Novel ionic liquid matrices for qualitative and quantitative detection of carbohydrates by matrix assisted laser desorption/ionization mass spectrometry

Its possible you may be suffering from a genetic condition, abnormal testosterone levels, or an anatomic issue like a varicocele, which occurs when the blood vessels around the testicle are dilated, causing temperature increases that disrupt sperm production