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As for women, a randomized, doubleblind, placebocontrolled clinical trial involving 150 women (aged 18-39) with clomiphene-resistant PCOS found that adding NAC (1.2 grams/day for five days starting on day three of the cycle) to clomiphene citrate significantly increased both ovulation and pregnancy rates

This includes: Gradual weight loss of 710% of body weight in overweight or obese individuals, which has been shown to reduce liver fat and inflammation Regular physical activity of at least 150 minutes of moderate-intensity exercise per week Dietary changes including reducing refined carbohydrates, saturated fats, and sugar-sweetened beverages whilst increasing consumption of vegetables, whole grains, and lean proteins

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