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Moreover, an increase in inflammatory factors and a decrease in adiponectin may also lead to the interruption of insulin signaling pathways, reducing insulin sensitivity (70, 71)

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Study Characteristics All studies were multicentres and carried out in a double-blind approach, except for one study (SURPASS-2), which was an open-label study (studies' details are in Table 1)

Semen quality in relation to biomarkers of pesticide exposure