{"id":119070,"date":"2023-09-28T09:58:58","date_gmt":"2023-09-28T08:58:58","guid":{"rendered":"https:\/\/www.exseedhealth.com\/?p=119070"},"modified":"2025-05-21T16:08:30","modified_gmt":"2025-05-21T15:08:30","slug":"energy-drinks-and-fertility","status":"publish","type":"post","link":"https:\/\/www.exseedhealth.com\/sv\/energy-drinks-and-fertility\/","title":{"rendered":"Hj\u00e4lper eller skadar energidrycker manlig fertilitet?"},"content":{"rendered":"<p>Energidrycker som Red Bull har blivit otroligt popul\u00e4ra, eftersom de ger en snabb boost av energi och vakenhet. Men med den \u00f6kade populariteten har fr\u00e5gor om deras effekter p\u00e5 h\u00e4lsan - s\u00e4rskilt fertilitet - dykt upp. Du kanske undrar, <em>\"G\u00f6r Red Bull dig infertil?\"<\/em> eller <em>\"Kan energidrycker p\u00e5verka spermiekvaliteten?\"<\/em><\/p>\n<p>\u00c4ven om m\u00e5ttlig konsumtion av energidrycker kanske inte har omedelbara skadliga effekter, kan deras ingredienser - som koffein, socker och taurin - potentiellt p\u00e5verka fertiliteten vid \u00f6verdriven konsumtion. Om du f\u00f6rs\u00f6ker bli gravid eller bara \u00e4r nyfiken p\u00e5 din reproduktiva h\u00e4lsa kan du med hj\u00e4lp av hemmatester som <strong><a href=\"https:\/\/shop.exseedhealth.com\/collections\/male-fertility-test-kits\">Testkit f\u00f6r manlig fertilitet<\/a><\/strong> kan ge v\u00e4rdefulla insikter om din spermieh\u00e4lsa fr\u00e5n bekv\u00e4mligheten av ditt hem. L\u00e5t oss dyka in i hur Red Bull och liknande energidrycker kan p\u00e5verka fertiliteten hos b\u00e5de m\u00e4n och kvinnor.<\/p>\n<h2>F\u00f6rb\u00e4ttrar energidrycker spermakvaliteten?<\/h2>\n<p>Trots att de har rykte om sig att \u00f6ka energin finns det <strong data-start=\"1282\" data-end=\"1297\">inga bevis<\/strong> att energidrycker f\u00f6rb\u00e4ttrar spermiekvaliteten. Koffeinet som de inneh\u00e5ller kan \u00f6ka vakenheten, men det inneb\u00e4r inte b\u00e4ttre reproduktiv h\u00e4lsa. I sj\u00e4lva verket kan \u00f6verdrivet koffein- och sockerintag skada spermakvaliteten \u00f6ver tid.<\/p>\n<h2>P\u00e5verkar koffein manlig fertilitet?<\/h2>\n<p data-start=\"1572\" data-end=\"1788\">Koffein, ett naturligt stimulerande \u00e4mne som finns i kaffe, te och energidrycker som Red Bull, p\u00e5verkar det centrala nervsystemet och reproduktionshormonerna. Dess inverkan p\u00e5 den manliga fertiliteten beror till stor del p\u00e5 hur mycket du konsumerar.<\/p>\n<ul data-start=\"1790\" data-end=\"2506\">\n<li data-start=\"1790\" data-end=\"2165\">\n<p data-start=\"1792\" data-end=\"2165\"><strong data-start=\"1792\" data-end=\"1840\">M\u00e5ttligt koffeinintag (upp till 300 mg\/dag):<\/strong><br data-start=\"1840\" data-end=\"1843\" \/>Enligt en genomg\u00e5ng 2017 i <em data-start=\"1875\" data-end=\"1900\">Reproduktionstoxikologi<\/em>, m\u00e5ttlig koffeinkonsumtion i allm\u00e4nhet <strong data-start=\"1942\" data-end=\"1959\">skadar inte<\/strong> manlig fertilitet och kan till och med f\u00f6rb\u00e4ttra spermiernas r\u00f6rlighet, vilket \u00e4r avg\u00f6rande f\u00f6r befruktningen . Vissa studier har visat att kaffedrickare har b\u00e4ttre spermieparametrar j\u00e4mf\u00f6rt med icke-drickare, \u00e4ven om resultaten varierar.<\/p>\n<\/li>\n<li data-start=\"2167\" data-end=\"2506\">\n<p data-start=\"2169\" data-end=\"2506\"><strong data-start=\"2169\" data-end=\"2194\">H\u00f6gt koffeinintag:<\/strong><br data-start=\"2194\" data-end=\"2197\" \/>\u00d6verdriven koffeinkonsumtion \u00e4r kopplad till hormonella obalanser, inklusive f\u00f6r\u00e4ndrade niv\u00e5er av luteiniserande hormon (LH) och follikelstimulerande hormon (FSH), som reglerar testosteron- och spermieproduktionen. Det \u00f6kar ocks\u00e5 den oxidativa stressen i spermierna, vilket kan skada DNA och minska motiliteten.<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2508\" data-end=\"2709\">Den amerikanska livsmedels- och l\u00e4kemedelsmyndigheten (FDA) rekommenderar att koffein begr\u00e4nsas till <strong data-start=\"2584\" data-end=\"2602\">400 mg per dag<\/strong> f\u00f6r friska vuxna, men m\u00e4n som f\u00f6rs\u00f6ker bli gravida kan ha nytta av att sikta p\u00e5 mindre f\u00f6r att minska fertilitetsriskerna.<\/p>\n<p data-start=\"2711\" data-end=\"2820\"><strong data-start=\"2711\" data-end=\"2728\">Viktigt att ta med sig:<\/strong> <em data-start=\"2729\" data-end=\"2755\">M\u00e5ttfullhet \u00e4r viktigt.<\/em> H\u00e5ll dig till s\u00e4kra koffeinniv\u00e5er och \u00f6vervaka ditt intag noga.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2023\/09\/images.jpg\" alt=\"Red Bull\" width=\"225\" height=\"225\" \/><\/p>\n<h2>Inneh\u00e5ller Red Bull spermier fr\u00e5n tjurar?<\/h2>\n<p data-start=\"2865\" data-end=\"3201\">En bisarr vandringss\u00e4gen h\u00e4vdar att Red Bull inneh\u00e5ller tjursperma p\u00e5 grund av dess <strong data-start=\"2935\" data-end=\"2946\">taurin<\/strong> inneh\u00e5ll. Denna myt \u00e4r <strong data-start=\"2969\" data-end=\"2989\">helt felaktig<\/strong>. I enlighet med <a class=\"\" href=\"https:\/\/www.redbull.com\/gb-en\/energydrink\/is-taurine-made-from-bulls-testicles\" target=\"_new\" rel=\"noopener\" data-start=\"3004\" data-end=\"3094\">Red Bull<\/a>, taurin i deras drycker \u00e4r <strong data-start=\"3123\" data-end=\"3145\">syntetiskt tillverkad<\/strong> och g\u00f6r <strong data-start=\"3155\" data-end=\"3162\">inte<\/strong> kommer fr\u00e5n tjurar eller andra animaliska k\u00e4llor.<\/p>\n<p data-start=\"3203\" data-end=\"3401\">Taurin \u00e4r en aminosyra som \u00e4r viktig f\u00f6r olika kroppsfunktioner men som inte har n\u00e5got samband med k\u00f6nsceller. S\u00e5 var s\u00e5 s\u00e4ker - du dricker inte n\u00e5got ovanligt n\u00e4r du \u00f6ppnar en burk Red Bull.<\/p>\n<h2>Socker och taurin i energidrycker: Hur p\u00e5verkar de fertiliteten?<\/h2>\n<h3>Socker<\/h3>\n<p>Energidrycker \u00e4r beryktade f\u00f6r sin h\u00f6ga sockerhalt. \u00d6verdrivet <strong><a href=\"https:\/\/www.exseedhealth.com\/sv\/sugar-male-fertility\/\">sockerintag<\/a><\/strong> kan leda till <strong>viktuppg\u00e5ng<\/strong> och <strong>fetma<\/strong>som b\u00e5da har en negativ inverkan p\u00e5 fertiliteten hos b\u00e5de m\u00e4n och kvinnor. F\u00f6r m\u00e4n kan fetma leda till s\u00e4nkta testosteronniv\u00e5er och f\u00e4rre spermier, medan det f\u00f6r kvinnor kan leda till hormonell obalans och \u00e4gglossningsproblem.<\/p>\n<p>Uppr\u00e4tth\u00e5lla en <strong>h\u00e4lsosam vikt<\/strong> \u00e4r avg\u00f6rande f\u00f6r den reproduktiva h\u00e4lsan. Att minska sockerintaget - vare sig det kommer fr\u00e5n energidrycker eller andra k\u00e4llor - kan bidra till att f\u00f6rb\u00e4ttra fertiliteten.<\/p>\n<h3>Taurin<\/h3>\n<p>Taurin \u00e4r en aminosyra som finns i energidrycker och som st\u00f6der funktioner som <strong>muskelh\u00e4lsa<\/strong>, <strong>hj\u00e4rnans funktion<\/strong>, och <strong>\u00f6gonh\u00e4lsa<\/strong>. N\u00e5gra <strong><a href=\"https:\/\/febs.onlinelibrary.wiley.com\/doi\/10.1111\/febs.14449\">djurstudier<\/a><\/strong> tyder p\u00e5 att taurinbrist kan leda till d\u00e5lig spermieh\u00e4lsa. Men \u00e4ven om taurin \u00e4r viktigt kan energidrycker <strong>inte \u00e4r den b\u00e4sta k\u00e4llan<\/strong> p\u00e5 grund av deras h\u00f6ga sockerinneh\u00e5ll. Om du misst\u00e4nker en taurinbrist \u00e4r det b\u00e4ttre att \u00f6verv\u00e4ga <strong>Kosttillskott<\/strong> ist\u00e4llet f\u00f6r att f\u00f6rlita sig p\u00e5 energidrycker.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2023\/09\/Dr_Pepper-300x300.jpeg\" alt=\"Dr Pepper\" width=\"300\" height=\"300\" \/><\/p>\n<h2>Hur \u00e4r det med andra drycker som Dr. Pepper?<\/h2>\n<p>Det finns ett rykte p\u00e5 n\u00e4tet som antyder att <strong>Dr. Pepper<\/strong> minskar spermieantalet. Medan Dr. Pepper inneh\u00e5ller koffein och socker, <strong>det finns inga specifika bevis<\/strong> att det skadar fertiliteten mer \u00e4n andra sockerhaltiga koffeinhaltiga drycker. En enstaka l\u00e4sk p\u00e5verkar inte spermiernas h\u00e4lsa drastiskt, men \u00f6verdriven konsumtion av sockerhaltiga drycker <strong>kan<\/strong> bidrar till d\u00e5lig spermakvalitet \u00f6ver tid.<\/p>\n<p>Nyckeln \u00e4r att uppr\u00e4tth\u00e5lla en <strong>balanserad kost<\/strong> och undvik \u00f6verdriven konsumtion av sockerhaltiga eller starkt koffeinhaltiga drycker.<\/p>\n<h2>G\u00f6r Red Bull dig infertil? Den slutliga domen<\/h2>\n<p>S\u00e5.., <em>G\u00f6r Red Bull dig infertil?<\/em> Det korta svaret \u00e4r <strong>nej<\/strong>-det finns inga solida bevis f\u00f6r att m\u00e5ttlig konsumtion av Red Bull skulle skada din fertilitet. Men i alla fall.., <strong>\u00f6verdriven<\/strong> Intag av energidrycker, p\u00e5 grund av deras h\u00f6ga koffein- och sockerinneh\u00e5ll, kan leda till h\u00e4lsoproblem som p\u00e5verkar den reproduktiva h\u00e4lsan.<\/p>\n<ul>\n<li>Kvinnor som konsumerar \u00f6ver <strong>300 mg koffein dagligen<\/strong> \u00e4r <strong>25% mer sannolikt<\/strong> att uppleva f\u00f6rseningar i befruktningen.<\/li>\n<li>M\u00e4n med h\u00f6gt sockerintag kan uppleva <strong>l\u00e4gre antal och kvalitet p\u00e5 spermierna<\/strong>.<\/li>\n<\/ul>\n<p>Om du f\u00f6rs\u00f6ker bli gravid \u00e4r det en bra id\u00e9 att begr\u00e4nsa din konsumtion av energidrycker och fokusera p\u00e5 att uppr\u00e4tth\u00e5lla en <strong>h\u00e4lsosam livsstil<\/strong>. F\u00f6r mer personliga insikter kan du \u00f6verv\u00e4ga att anv\u00e4nda <strong><a href=\"https:\/\/shop.exseedhealth.com\/collections\/male-fertility-test-kits\">Testkit f\u00f6r manlig fertilitet<\/a><\/strong> f\u00f6r att \u00f6vervaka din spermieh\u00e4lsa hemma.<\/p>\n<h2>Tips f\u00f6r att \u00f6ka fertiliteten p\u00e5 naturlig v\u00e4g<\/h2>\n<ol>\n<li><strong>Begr\u00e4nsa koffein och socker:<\/strong> H\u00e5ll dig till ett m\u00e5ttligt koffeinintag och minska konsumtionen av sockerhaltiga drycker.<\/li>\n<li><strong>H\u00e5lla en h\u00e4lsosam vikt:<\/strong> Fetma kan p\u00e5verka fertiliteten negativt hos b\u00e5de m\u00e4n och kvinnor.<\/li>\n<li><strong>F\u00e5 tillr\u00e4ckligt med s\u00f6mn:<\/strong> D\u00e5lig s\u00f6mn kan st\u00f6ra hormonniv\u00e5erna och p\u00e5verka fertiliteten. L\u00e4s mer om hur <a href=\"https:\/\/www.exseedhealth.com\/sv\/how-does-sleep-affect-fertility\/\">hur s\u00f6mnen p\u00e5verkar fertiliteten<\/a>.<\/li>\n<li><strong>Motionera regelbundet:<\/strong> Fysisk aktivitet f\u00f6rb\u00e4ttrar den allm\u00e4nna h\u00e4lsan och st\u00f6der fortplantningsf\u00f6rm\u00e5gan.<\/li>\n<li><strong>Anv\u00e4nd fertilitetsverktyg:<\/strong> <a href=\"https:\/\/shop.exseedhealth.com\/collections\/male-fertility-test-kits\">Testkit f\u00f6r manlig fertilitet<\/a> kan hj\u00e4lpa dig att \u00f6vervaka din spermiekvalitet hemifr\u00e5n.<\/li>\n<\/ol>\n<h2 data-start=\"6167\" data-end=\"6202\">VANLIGA FR\u00c5GOR OCH SVAR: Energidrycker och fertilitet<\/h2>\n<p data-start=\"6204\" data-end=\"6338\"><strong data-start=\"6204\" data-end=\"6253\">F: Kan ett enstaka Red Bull-intag skada min fertilitet?<\/strong><br data-start=\"6253\" data-end=\"6256\" \/>Svar: Nej, det \u00e4r osannolikt att en tillf\u00e4llig m\u00e5ttlig konsumtion p\u00e5verkar fertiliteten negativt.<\/p>\n<p data-start=\"6340\" data-end=\"6460\"><strong data-start=\"6340\" data-end=\"6397\">F: Hur mycket koffein \u00e4r s\u00e4kert n\u00e4r man f\u00f6rs\u00f6ker bli gravid?<\/strong><br data-start=\"6397\" data-end=\"6400\" \/>S: F\u00f6r att minimera risken b\u00f6r man h\u00e5lla koffeinhalten under 300 mg per dag.<\/p>\n<p data-start=\"6462\" data-end=\"6610\"><strong data-start=\"6462\" data-end=\"6503\">F: F\u00f6rb\u00e4ttrar taurin spermiernas h\u00e4lsa?<\/strong><br data-start=\"6503\" data-end=\"6506\" \/>A: Taurin kan skydda spermier, men energidrycker \u00e4r inte den b\u00e4sta k\u00e4llan p\u00e5 grund av socker och koffein.<\/p>\n<p data-start=\"6612\" data-end=\"6764\"><strong data-start=\"6612\" data-end=\"6683\">F: Finns det b\u00e4ttre s\u00e4tt att \u00f6ka energin utan att skada fertiliteten?<\/strong><br data-start=\"6683\" data-end=\"6686\" \/>S: Ja - fokusera p\u00e5 v\u00e4tskeintag, balanserad kost, god s\u00f6mn och regelbunden motion.<\/p>\n<h2>Ytterligare l\u00e4sning och resurser:<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.nih.gov\">NIH-studie om koffein och fertilitet<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\">Reproduktionstoxikologisk studie om koffein och spermieh\u00e4lsa<\/a><\/li>\n<li><a href=\"https:\/\/www.hsph.harvard.edu\">Harvard-studie om socker och spermiekvalitet<\/a><\/li>\n<li><a href=\"https:\/\/www.fda.gov\">FDA:s riktlinjer f\u00f6r koffeinintag<\/a><\/li>\n<li><a href=\"https:\/\/www.exseedhealth.com\/sv\/sperm-motility-guide\/\">Guide till spermiernas r\u00f6rlighet<\/a><\/li>\n<li><a href=\"https:\/\/www.exseedhealth.com\/sv\/improve-sperm-health\/\">F\u00f6rb\u00e4ttra spermiernas h\u00e4lsa<\/a><\/li>\n<li><a href=\"https:\/\/www.exseedhealth.com\/sv\/how-does-sleep-affect-fertility\/\">Hur p\u00e5verkar s\u00f6mn fertiliteten?<\/a><\/li>\n<li><a href=\"https:\/\/shop.exseedhealth.com\/collections\/male-fertility-test-kits\">Testkit f\u00f6r manlig fertilitet<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Energy drinks like Red Bull have become incredibly popular, offering a quick boost of energy and alertness. But with that rise in popularity, questions about their effects on health\u2014especially fertility\u2014have surfaced. You might be wondering, \u201cDoes Red Bull make you infertile?\u201d or \u201cCan energy drinks affect sperm quality?\u201d While moderate consumption of energy drinks may [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":123110,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[198,201],"tags":[55,56,207],"class_list":["post-119070","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-fertility","category-mind-body","tag-healthy","tag-home-sperm-testing","tag-male-reproductive-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Are Energy Drinks Bad for Fertility?<\/title>\n<meta name=\"description\" content=\"Does Red Bull affect fertility? Learn how energy drinks, caffeine, sugar, and taurine may impact sperm quality and reproductive health.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.exseedhealth.com\/sv\/energy-drinks-and-fertility\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are Energy Drinks Bad for Fertility?\" \/>\n<meta property=\"og:description\" content=\"Does Red Bull affect fertility? Learn how energy drinks, caffeine, sugar, and taurine may impact sperm quality and reproductive health.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.exseedhealth.com\/sv\/energy-drinks-and-fertility\/\" \/>\n<meta property=\"og:site_name\" content=\"ExSeed Health\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ExSeedHealth\" \/>\n<meta property=\"article:published_time\" content=\"2023-09-28T08:58:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-21T15:08:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.exseedhealth.com\/wp-content\/uploads\/2023\/09\/1920x1080-3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Emil Andersen, PhD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ExSeed_Health\" \/>\n<meta name=\"twitter:site\" content=\"@ExSeed_Health\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Emil Andersen, PhD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/\"},\"author\":{\"name\":\"Emil Andersen, PhD\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#\\\/schema\\\/person\\\/5d08eb43d90734a01dcf3cb77ce5e109\"},\"headline\":\"Do Energy Drinks Help or Harm Male Fertility?\",\"datePublished\":\"2023-09-28T08:58:58+00:00\",\"dateModified\":\"2025-05-21T15:08:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/\"},\"wordCount\":1035,\"publisher\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.exseedhealth.com\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/1920x1080-3.jpg\",\"keywords\":[\"healthy\",\"Home Sperm Testing\",\"Male Reproductive Health\"],\"articleSection\":[\"Men\u2019s Fertility\",\"Mind &amp; Body\"],\"inLanguage\":\"sv-SE\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/\",\"url\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/\",\"name\":\"Are Energy Drinks Bad for Fertility?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.exseedhealth.com\\\/energy-drinks-and-fertility\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.exseedhealth.com\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/1920x1080-3.jpg\",\"datePublished\":\"2023-09-28T08:58:58+00:00\",\"dateModified\":\"2025-05-21T15:08:30+00:00\",\"description\":\"Does Red Bull affect fertility? 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