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Mitigation strategies include frequent glucose monitoring when changes are made to insulin dosage, oral hypoglycemic medications, meal patterns, physical activity, and in cases of renal or hepatic impairment or hypoglycemia unawareness, with consideration for dose reduction
An RCT (n=150) found that NAC (1,200 mg/day) plus clomiphene significantly improved ovulation rate and pregnancy rate compared to clomiphene plus placebo (Rizk et al., Fertil Steril, 2005) [58]
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