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Due to the higher number of participants, this study was greatly weighted and influenced the overall results, so removing of mentioned study in sensitivity analysis changed the increasing effects of NAC on the FSH levels

Improved Glycemic Control: These drugs effectively lower blood glucose levels and reduce HbA1c, a marker of long-term glucose control

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Systemic side effects are rare but include transient nausea (510% of patients, typically within the first hour post-injection) and allergic reactions to methylcobalamin or preservatives in compounded formulations