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And an additional study that found no differences in any fertility related parameters in women with PCOS taking acetyl-l-cysteine + Clomid + letrozole vs Clomid + letrozole alone, but they also supplemented with injected FSH for 4+ days which I think could overwhelm any effect of the cysteine

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Symptoms of AVED usually manifest early in life (ages 5-15 years)