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(2025) found that at low concentrations, fluoxetine consistently reduced sperm motility while promoting fluctuations in cellular reactive oxygen species (ROS) levels and sperm capacitation, without affecting sperm viability, mitochondrial membrane potential, the acrosome reaction, or chromatin/DNA integrity as shown in Figure 1

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This extraordinary exchange emerged this week in a BBC Panorama program that investigated the banned coach Alberto Salazar and his biggest athlete, Farah, who won the 5000-metre and 10,000m golds at both the London and Rio Olympics