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Collectively, these findings support the role of fecal microbiota influences and metabolic pathways (oxidative stress, inflammation) as underlying mechanisms for the beneficial effects of the MD in reproductive health, highlighting microbiota manipulation and metabolic interventions as promising avenues for further exploration ( 6.4 Integration of multidisciplinary and personalized approaches The management of endometriosis-associated infertility is increasingly recognizing the necessity of individualized, multimodal care that integrates emerging scientific insights with patient-centered strategies

10.1016/j.eururo.2004.06.014 Eur

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