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Similar findings were reported in two Cochrane database systematic reviews that analyzed the results from 15 trials involving over 20,000 women (91, 92)

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reported varied outcomes when adding L-carnitine to antagonist ovarian stimulation protocols in IVF/ICSI cycles, particularly in women with polycystic ovarian syndrome (PCOS) ( Addressing the clinical effects of L-carnitine at the intraovarian level presents challenges due to the intricate cellular and molecular aspects of PCOS, highlighting the need for further research to comprehend its clinical mechanisms across diverse patient populations, including those with PCOS, and to potentially discover new applications for ovarian dysfunctions associated with redox imbalance