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To ensure accurate cell identification, size and circularity parameters were adjusted to include cells with the expected morphology (size range [8 m 2 ], circularity [0.31])

They explained how the sharing of the waterpipe and the act of passing it from one person to another could transmit the virus: When I am visiting friends, I take my own waterpipe

Mieusset and Bujan's comprehensive review established the foundational evidence that testicular heating is one of the most consistent and reproducible causes of impaired spermatogenesis