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Not the diet and exercise factors
That said, not eating enough can make side effects like nausea, dizziness, tiredness, and weakness feel worse
In practice, this means beginning your folic acid and vitamin D, and any preconception supplement, around three months ahead
They are stating that the medication will maintain at least 90% of its labeled potency and meet all quality specifications (sterility, pH, particulate matter) through that date, assuming proper storage
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