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all these play an important role in inhibiting natural conception. Dr Singh said that this makes natural conception more difficult and lowers the success rate of in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and other reproductive procedures, and added, it is also linked with decreased ovarian reserve and increased risk of miscarriage, thereby increasing the load on those already afflicted with infertility

This combination of reduced protection and maintained acid production creates an environment where even normal gastric acid levels can cause significant pain and tissue damage

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