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Similarly, a randomized study conducted in women undergoing intracytoplasmic sperm injection (ICSI) evaluated a formulation containing vitamin D3, melatonin, and MI and found improvements in oocyte and blastocyst quality, without a significant effect on overall pregnancy outcomes (218)

reported post-VSG increases in lumbar BMAT alongside peripheral MAT reductions, underscoring region-specific fatbone interactions, although other studies report a reduction in BMAT with VSG

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