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How does the consumption of licorice affect fertility and sperm count in both men and women? 


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Consumption of licorice, specifically its key component glycyrrhizin, can impact fertility and sperm count in both men and women. Glycyrrhizin, found in licorice, can induce apparent mineralocorticoid excess syndrome through inhibition of 11β-hydroxysteroid dehydrogenase type 2, leading to hypertension and fluid retention . In women, licorice extracts containing high levels of glycyrrhizic acid have been linked to hypokalemia, potentially affecting fertility . Additionally, glycyrrhizin can suppress 11-hydroxysteroid dehydrogenase, causing hypermineralocorticoid-like effects, which may impact fertility in both rodents and humans . However, a phase 1 clinical study showed that a standardized licorice extract did not cause significant pharmacokinetic interactions affecting fertility-related enzymes in menopausal and postmenopausal women .

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Consumption of licorice, specifically glycyrrhizin, does not directly impact fertility or sperm count according to the paper. It mainly affects cortisol levels and has medicinal properties.
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