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Side effects of too much caffeine include insomnia, nervousness, rapid heartbeat, elevated blood pressure, and in kids, often increased irritability or rebound fatigue later in the day

Sometimes, you may need other tests like a liver ultrasound, a CT scan, or a liver biopsy to make a final diagnosis

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Furthermore, NaF treatment downregulates the cAMP response element modulator (CREM) and its activator (ACT), both crucial for the transcription of post-meiotic genes necessary for normal spermatogenesis at the round stage of spermatid maturation [117, 162, 163]

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