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In such cases, the excessive production of ROS by leukocytes surpasses the capacity of the semens antioxidant defenses, leading to pronounced oxidative stress

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Plasma levels of malondialdehyde (MDA) were substantially higher and melatonin levels were substantially lower in smokers than non-smokers, which appears that melatonin can lessen the respiratory system damage caused by free radicals brought on by cigarette smoke (67)

We searched PubMed (MEDLINE), EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL) and Web of Science from database inception to 31 October 2021 to identify eligible randomized controlled trials (RCTs)