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Description
Oxidative Stress refers to the imbalance between the antioxidant capacity of the seminal plasma and the production of reactive oxygen species (ROS) by the sperm and leukocytes

The process as claimed in claim 1 to 6, wherein said coupling agent is selected from the group consisting of Ethylcyano (hydroxy imino) acetate -02)-tri-(l-pyrrolidinyl)-Phosphoniumhexa fluorophosphate (PyOxim), ethyl-2-cyano-2-(hydroxyamino) acetate (Oxyma pure), O- (benzotriazol-l-yl)-N,N,N',N'-tetramethyluronium tetrafluoroborate (TBTU), diisopropyl carbodiimide (DIC), 1,3-dicyclohexylcabodiimide (DCC), 0-(7-azabenzotriazol-l-yl)- N,N,N',N'-tetramethyluronium hexafluorophosphate (F1ATU), 1 -(dimethyl aminopropyl)-3- ethylcarbodiimide hydrochloride (EDC FICl), 0-(benzotriazol-l-yl)-l,l,3,3-tetra methyluronium hexafluoro phosphate (F1BTU), 1 -Flydroxybenzotriazole (FlOBt), 1-hydroxy- 7-azabenzotriazole (FlOAt), Isopropyl chloro formate (IPCF), Benzotriazol-l-yl-oxy- tris(dimethyl-amino)-phosphonium hexa fluorophosphate (BOP), benzotriazole-1- yloxytri(pyrrolidino) phosphonium hexa fluoro phosphate (PyBOP), N,N-bis-(2-oxo-3- oxazolidinyl)phosphonic dichloride (BOP-Cl),bromotri(pyrrolidino)phosphonium hexa fluoro phosphate (PyBrOP), 0-(6-Chloro-l-hydrocibenzotriazol-l-yl)-l,l,3,3-tetramethyl uranium tetra fluoroborate (TCTU), chlorotri (pyrrolidino)phosphonium hexafluorophosphate (PyClOP), Ethyl l,2-dihydro-2-ethoxyquinoline-carboxylate(EEDQ), isobutyl chloro formate (IBCF), 2-succinimido-l,l,3,3-tetramethyluronium tetrafluoro borate(TSTU), l-Cyano-2-ethoxy-2-oxo ethylidene aminooxy) dimethyl amino morpholino- carbeniumhexafluorophosphate (COMU), 2-(5-norbornen-2, 3-dicarboximido)-l, 1,3,3- tetramethyluronium tetrafluoroborate (TNTU), propane phosphonic acid anhydride (PPAA), 3-(diethoxy phosphoryloxy)-l,2,3-benzotriazin-4(3Fl)-one (DEPBT) or its mixture

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Labs are not required for most patients, though the provider can require them based on medical history

Oral medications do not require refrigeration (orforglipron is stable at room temperature during use)
