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The aforementioned macamide also reversed testicular toxicity, and ethanolic extract decreased spermatogenic tubule vacuolization and testicular lesions, eventually recovering spermatogenic epithelium and inhibiting testicular stromal proliferation (Yu et al., 2020b)

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There are other rare side effects associated with high doses or long term use, including kidney injury

Tyrosine Phosphorylation Tyrosine 280 and tyrosine 301, which are both highly conserved sites in the catalytic domain of SIRT1, are key residues that are phosphorylated by Janus kinase 1 (JAK1)
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