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Furthermore, D-ribose is highly synergistic with NAD+ precursors (like nicotinamide riboside) and L-Carnitine

[DOI] [PubMed] [Google Scholar] Smeland O.B., Meisingset T.W., Borges K., Sonnewald U

As key vitamins for male fertility, both act as antioxidants that help protect sperm cells from oxidative damage

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