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Costa A, Ai M, Nunn N, Culotta I, Hunter J, Boudjadja MB, et al

When levels dropdue to age, stress, or lifestyle choicesthe liver may struggle to keep up with the demand

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For patients preparing for pregnancy, I often turn to alternatives such as myo-inositol, berberine, or metformin, along with nutrition and lifestyle interventions , which can support insulin sensitivity without the same safety concerns