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Those with certain conditions: Milk thistle can have estrogenic effects, which may worsen hormone-sensitive conditions, including some types of breast cancer

Do I need lab work or a consultation before starting

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Folic acid supplementation and IVF pregnancy outcome in women with unexplained infertility

de Bono JS, Oudard S, Ozguroglu M, Hansen S, Machiels JP, Kocak I, Gravis G, Bodrogi I, Mackenzie MJ, Shen L, Roessner M, Gupta S, Sartor AO (2010) Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial