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This is the most common pattern in adults over 40 doing the protocol correctly
The history of reporting on plant-predominant diets dates back over 2,500 years, when Pythagoras introduced the philosophy of vegetarianism based on his observations (98)
Periconception safety within a precautionary gray zone: an absence of a stable teratogenic pattern is not synonymous with proven safety. In the absence of robust human exposure-outcome evidence, periconception management must adhere to a defensive principle: continuous effective contraception combined with adherence to drug-specific discontinuation and washout protocols remains the mandatory safety boundary
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doi: 10.1007/s00726-003-0026-8 132