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Competing interests The authors have no competing interests to declare

Criticism, Redefining Strength (00:40:47) Sponsor: AG1 (00:42:32) Healthy Criticism, Tool: Women & Articulating Needs (00:50:21) Childlike Behavior, Wise Adult & Trauma, Tool: Relational Mindfulness (00:58:11) Tool: Responsible Distance Taking

Abstract There is increasing evidence that skeletal muscle microvascular (capillary) blood flow plays an important role in glucose metabolism by increasing the delivery of glucose and insulin to the myocytes

The resulting low testosterone levels further exacerbate impairments in spermatogenesis and metabolic function, thereby perpetuating a vicious cycle ( Diabetes negatively impacts testicular function through multiple mechanisms, including hyperglycemia, oxidative stress, accumulation of AGEs, inflammation, endocrine disruption, ER stress, and mitochondrial dysfunction (112)