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In a study targeting suicide attempts as the endpoint, a control group with a higher prevalence of depression and suicidal ideation might lead to outcome bias, as evidenced by the increased incidence of suicidal ideation within the control group

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Indeed the role of NAC on sexual hormones is characterised as decreased serum levels of testosterone and androgen levels among PCOS women, reduced levels of FSH and LH and increased levels of testosterone in infertile men (Reference Ghomian, Khadem and Moeindarbari5)

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