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Funding Open access funding provided by Aalborg University Hospital Ethics declarations Conflict of interest Faisal A, Philipsen PA, Lerche CM, Douki T, Pihl C, Gregersen T, Granborg JR, Bjerring P, Haedersdal M, and Wiegell SR have no conflicts of interest to disclose

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Trials comparing MI plus folate with folate alone have reported improvements in oocyte and embryo parameters.46 Wholesome Story uses L-methylfolate (MTHF), the biologically active form of folate, which does not require conversion in the body and is often chosen in reproductive-health formulations.47 Vitamin D3 (25mcg / 1,000IU) Vitamin D insufficiency is common in PCOS and has been linked to insulin resistance and metabolic dysfunction.48 Supplementation has been studied for modest improvements in insulin sensitivity and related markers, particularly in individuals who begin with low vitamin D status.49 50 The 1,000IU dose included here is above the recommended dietary allowance but remains well below established upper intake levels for adults, making it appropriate for ongoing daily use with a low risk of oversupplementation.51 One additional consideration is dosing flexibility

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