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Due to the higher number of participants, this study was greatly weighted and influenced the overall results, so removing of mentioned study in sensitivity analysis changed the increasing effects of NAC on the FSH levels

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Control groups remain essential for valid research conclusions

An epidural injection may be given using any one of the following approaches: Transforaminal route: This technique allows precise administration of the steroid solution into the epidural space, near the area where the nerve is likely to be irritated