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The 2023 international PCOS guideline notes that inositol shouldn't be used as a stand-alone fertility treatment, but it can support metabolic and ovulatory function alongside medical care

doi: 10.1038/s41586-019-1170-y 102 ChenXLiJKangRKlionskyDJTangD

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Individual vulnerability varies significantly based on nutritional status, liver function, age, and genetic polymorphisms in detoxification enzymes

1 and Tables 13
