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Tambin se puede utilizar bromoacetato de etilo como materia prima, reducindolo primero con borohidruro de sodio para obtener bromuro de -bromo--hidroxibutirato de etilo, que luego reacciona con trimetilamina para formar una sal de amonio cuaternario, especficamente bromuro de trimetilamonio--hidroxibutirato de etilo

Improvement in pregnancy outcomes in couples with immunologically male infertility undergoing prednisolone treatment and conventional in vitro fertilization preceded by sperm penetration assay: a randomized controlled trial