10.1016/j.fertnstert.2004.02.120
Eligibility typically depends on medical necessity, FDA-approved use, and meeting criteria like BMI thresholds and documented health conditions
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Gut microorganisms influence neurotransmitter production, such as serotonin and GABA, adding a layer of neuroendocrine control over fertility by affecting GnRH pulsatility and hypothalamic communication (259)
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This mechanism is critical because neurons have a limited ability to synthesize endogenous GS (Dringen and Arend, 2025)