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Whereas management with rosiglitazone showed a decrease in homocysteine levels, with no significant change in vitamin B 1 levels [95]

Vitamin D injections can also complement the protocol, though theyre administered separately

Ultrasound becomes the main way to check if the pregnancy is progressing normally and the baby is developing as expected

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Incorporate Selenium-rich Foods: Selenium is a glutathione cofactor

Adverse Effects Cough dry, persistent (due to bradykinin) Hyperkalemia decreased aldosterone potassium retention Hypotension especially in volume-depleted patients Angioedema rare but life-threatening Teratogenicity contraindicated in pregnancy Renal impairment in bilateral renal artery stenosis 6