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      <image:title>Blog Home Page - What Actually Moves the Needle for Male Fertility? - Make it stand out</image:title>
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      <image:title>Blog Home Page - What Actually Moves the Needle for Male Fertility? - Make it stand out</image:title>
      <image:caption>Axis Dietetics Evidence-Informed Male Fertility Framework showing where meaningful clinical leverage in male fertility tends to sit. The framework prioritises major fertility disruptors such as smoking, metabolic health, and anabolic steroid use at the foundation, followed by broader lifestyle and environmental factors including diet quality, sleep, and physical activity. Higher levels include targeted clinical assessment for underlying medical or hormonal issues, with supplements and advanced fertility strategies positioned as later refinements rather than primary foundations.</image:caption>
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