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In a similar randomized clinical trial with a smaller sample size, Abdelfattah et al., confirmed that adding L-carnitine to clomiphene citrate in the follicular phase and continuing administration into the luteal phase in clomiphene-resistant patients can improve ovulation quality and the rates of chemical and clinical pregnancy [18]

However, the issue is still matter of debate and no adverse events for selenium doses not exceeding 200 g/day were reported by a number of studies, including one in which relatively high levels of selenium were reached with supplementation (~190 g/L after 90 days of treatment) (50)

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Table of Contents What Is Reactive Hypoglycaemia and How Is It Diagnosed