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Even women who had previous NTD pregnancies but had no such problem in their current pregnancy showed no notable difference

1 Introduction Post-exertional malaise (PEM) is characterized by a significant worsening of symptoms, such as fatigue and cognitive dysfunction, following mild physical, cognitive, or emotional exertion that the patient previously tolerated well

There was also no difference in adverse effects reported and no reports of ovarian hyper-stimulation syndrome, a potentially life-threatening condition associated with drugs stimulating ovulation

Alpha-lipoic acid and N-acetylcysteine provide antioxidant support, and ginkgo biloba is commonly used in cognitive supplements to support healthy blood flow to the brain