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2 B12 deficiency can be due to inadequate dietary intake, in particular in people following a strict vegan diet (B12 is only found in animal foods)

The combination of surgery and NAC supplementation improved semen integrity and partner pregnancy rate by 22% compared with the control group ( In addition, NAC may improve fertility in older women and those with polyendocrine metabolic ovarian syndrome (PMOS, formerly PCOS) by inducing or augmenting the ovulation cycle, although more research is needed ( Summary NAC may help improve fertility in men by reducing oxidative stress that damages or kills reproductive cells

Vilsboll, T., Krarup, T., Madsbad, S