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One review in 2017 that examined evidence from eight studies on the subject concluded that the wide variety of study designs, durations and small sample sizes made it difficult to reach a definitive conclusion

Abortive apoptosis is a phenomenon where the defective sperm cell escapes programmed cell death and is present in the ejaculate

Retrieved 16 November 2018

Importantly, while the effects of ammonia exposure on the GM can be caused both by direct exposure, it can also stem from the acidification resulting from hydration to ammonium