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Evidence-based alternatives include optimising nutrition with iron-rich foods and complex carbohydrates, taking recommended supplements such as vitamin D (10 micrograms daily), addressing iron deficiency if confirmed by blood tests, ensuring adequate hydration, and prioritising sleep when possible

While side effects are generally minor and infrequent, these may include allergic reactions, diarrhea, vomiting, and nausea

65 However, an observational study that followed 501 couples attempting pregnancy for 12 months found neither mens daytime nor nighttime underwear choice had an impact on time to conception or risk of infertility