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ID creates an immunosuppressive microenvironment conducive to tumor growth by impairing the function of immune cells such as NK cells, macrophages, and T cells, along with various immune-related factors and enzymes (102, 103)

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Sperm count A Neubauer hemocytometer (Deep 0.1 mm, LABART, Germany) was used to count the sperms under a light microscope at 40 magnification

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