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A formal fertility assessment with a GP or fertility clinic covering AMH, antral follicle count, semen analysis, and tubal patency is more likely to identify the actionable issue than further supplement trials
These changes alter the environment where probiotics must establish and survive, potentially reducing their colonization efficiency
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People who do not match those groups, or who match a contraindication, should not use it without close clinician oversight and in some cases, should not use it at all
Blood levels
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