Top 21 Estrogen-Rich Foods You Should Include In Your Diet

Keep your hormones in check with some simple natural ingredients at home!

Medically reviewed by Girlene Coughlin, RDN, CPT
Written by Ravi Teja Tadimalla, BSc, Professional Certificate in Food, Nutrition and Health
Edited by Arshiya Syeda, BA (Literature & Psychology), PG Diploma
Fact-checked by Aparna Mallampalli, BEd, MSc (Microbiology), Diploma In Nutrition  • 

Healthy living requires consuming estrogen-rich foods. The levels of important hormones such as estrogen, progesterone, and testosterone decrease with the onset of menopause. Estrogen plays a crucial role in cholesterol metabolism as it increases good cholesterol levels and reduces bad cholesterol levels. In addition, this hormone reduces the risk of heart attacks by relaxing blood vessels.

This means you should be concerned about your estrogen deficiency. This article discusses the benefits of estrogen-rich foods and the recommended intake. Keep reading to know what estrogen is, why it is essential and what foods are high in estrogen.

What Is Estrogen And Why Is It Essential? 

Estrogen is a group of similar hormones that are present in both males and females. In men, it is present in a much less concentration than in women. This little hormone is responsible for making women behave like women.

It oversees the development of female sexual characteristics and is produced mainly in the ovaries (1). The ovaries release estrogen during menstruation and between cycles. These two periods of rise in estrogen levels are alternated by a gradual fall in the levels during a month (2).

Estrogen is a vital hormone due to its countless roles and functions in the body. Apart from regulating menstrual cycles, it also regulates the reproductive tract, urinary tract, cardiovascular system, bones, secondary sexual characteristics, skin, and hair (3).

protip_icon Did You Know?
It is estimated that more than 250,000 menopausal and postmenopausal women are affected by osteoporosis every year due to estrogen deficiency (15).

How do you ensure that your body gets its requirement of estrogen? There are two ways you can do it. One, by changing your lifestyle habits. Control stress, as stress causes an imbalance in estrogen levels. Strength training also helps as it increases the levels of estrogen (and testosterone too). And two, you can consume foods that increase estrogen levels, as categorized below.

What Are Some Estrogen Rich Foods?

Seeds: Flax seeds, Sesame seeds
Soy Products: Soy beans, Soy Milk, Soy Yogurt, Tofu
Fruits: Peaches, Strawberries
Vegetables: Alfalfa Sprouts, Mung Bean Sprouts, Green Beans
Legumes: White Beans, Black Beans
Nuts: Pistachios, Walnuts, Peanuts
Dried Fruits: Dried Apricots, Dates, Dried Prunes
Beverages: Red Wine
Herbs: Garlic
Grains: Multigrain Bread

Seeds

1. Flax Seeds 

Estrogen-rich flaxseeds
Image: Shutterstock

Flax seeds are considered one of the best sources of estrogen and they occupy the top position in the list of foods containing phytoestrogeni  XPlant-based compounds similar to the estrogen hormone produced by the human body that help fight cholesterol and improve heart health. . Also called linseeds, these are said to contain three times more phytoestrogens than soybeans. Apart from containing estrogen, they are also a rich source of dietary fiber and healthy fats like omega-3 fatty acids and help lower cholesterol levels in the body.

  • Serving Size – 1 tablespoon
  • Isoflavones – 22.5 mg
  • Phytoestrogens (per 100 grams) – 379,380 mcg
How To Include In Your Diet

Ground flaxseeds can be sprinkled on yogurt, oatmeal, or breakfast cereals. They can also be added to cookies and muffins before baking.

2. Sesame Seeds 

These are quite high in lignans, hormones that help balance estrogen levels in a woman’s body. They are also high in dietary fiber and several vitamins and minerals.

  • Serving Size – 1 ounce
  • Lignans – 11.2 mg
  • Phytoestrogens (per 100 grams) – 8008.1 mcg
How To Include In Your Diet

One of the best ways to consume sesame seeds is to make a paste of them, called tahini, and use it as a dipping sauce. You can also add them to your soup, salad, or stir-fried vegetables.

Soy Products

3. Soy

Estrogen-rich soy
Image: IStock

Soy is one of the highest estrogen foods. It contains phytoestrogens called isoflavones that affect the estrogen metabolism in the body. Edamame are the pods produced by a soy plant that affect estrogen metabolism.

  • Serving Size – 1 cup
  • Isoflavones – 24 mg
  • Phytoestrogens (per 100 grams) – 103,920 mcg
How To Include In Your Diet

Soy is best enjoyed roasted. Carry some roasted soy nuts with you to munch throughout the day to curb your hunger pangs. Apart from estrogen, they also contain a healthy dose of nutrients.

4. Soy Milk

Soy milk is also an extremely rich source of phytoestrogens. It is beneficial in providing relief from menstrual problems like cramps or pain by restoring the estrogen levels in the body.

  • Serving Size – 200 ml
  • Isoflavones – 30 mg
  • Phytoestrogens (per 100 grams) – 2957.2 mcg
How To Include In Your Diet

Soy milk is available in the market in ready-to-drink tetra packs. Have it as a midday snack. You can also add soy milk to your breakfast cereal instead of your regular cow’s milk.

5. Soy Yogurt 

Also known as bean curd yogurt, this is made from soy milk, making this yogurt a good source of phytoestrogens.

  • Serving Size – 200 grams
  • Isoflavones – 21 mg
  • Phytoestrogens (per 100 grams) – 10,275 mcg
How To Include In Your Diet

Soy yogurt can be eaten as it is, along with meals. You can add fruits and nuts to this and enjoy it as a healthy snack.

6. Tofu

Estrogen-rich tofu
Image: IStock

The soy version of cottage cheese, tofu, is also made directly from soy milk. Available in soft and firm varieties, this ingredient helps to improve the levels of estrogen in the body.

  • Serving Size – 3 ounces
  • Isoflavones – 20 mg
  • Phytoestrogens (per 100 grams) – 27,150 mcg
How To Include In Your Diet

Tofu is a versatile ingredient that can be used in soups, salads, or curries. You can also sauté it along with a few other veggies of your choice and have it as a side salad or snack.

7. Tempeh

Tempeh is made from fermenting fresh or cooked soybeans and has a nutty flavor. It may have the potential to impact estrogen levels in the body.

  • Serving Size – 100 grams
  • Isoflavones – 0.04 mg
  • Phytoestrogens (per 100 grams) – 22,510 mcg

How To Include In Your Diet

Tempeh is a versatile ingredient that is suitable for marinating, grilling, stir-frying, or crumbling in various dishes. It can be used in sandwiches, salads, or as a meat substitute in vegan or vegetarian recipes. It is an excellent source of plant-based protein and phytoestrogens and provides a variety of essential nutrients, making it a valuable addition to any balanced diet.

Nuts

8. Pistachios

Estrogen-rich pistachios
Image: IStock

Pistachios contain the highest amount of phytoestrogens among all nuts.

  • Serving Size – 1 ounce (28 grams)
  • Isoflavones – 49.5 mg
  • Phytoestrogens (per 100 grams) – 382.5 mcg
How To Include In Your Diet

They are best enjoyed raw or roasted. You can also add them in a trail-mix and consume with other nuts.

9. Walnuts

Walnuts are one of the healthiest nuts. They are rich in phytoestrogens as well as protein, omega-3 fatty acids, and a wide variety of essential nutrients.

  • Serving Size – 1 ounce (28 grams)
  • Isoflavones – 14.9 mg
  • Phytoestrogens (per 100 grams) – 26 mcg
How To Include In Your Diet

You can add chopped walnuts to salads or top them over fruits, ice creams, or frozen yogurt. You can also eat them as it is or mixed with other nuts.

10. Peanuts

One of the most commonly available nuts in the market, peanuts are also a good source of phytoestrogens.

  • Serving Size – 1 ounce (28 grams)
  • Phytoestrogens (per 100 grams) – 34.5 mcg
How To Include In Your Diet

They add crunch to your salads. They can also be eaten raw or ground into peanut butter and used as a spread.

Dry Fruits

11. Dried Apricots, Dates, And Prunes

Estrogen-rich dried apricots, dates, and prunes
Image: IStock

These are healthy snacks that are rich in phytoestrogens as well as fiber. The process of drying these fruits increases the amount of phytoestrogens, vitamins, and minerals in them.

  • Serving Size of Dried Apricots – 130 grams
  • Phytoestrogens (per 100 grams) – 445.5 mcg
  • Serving Size of Dates – 24 grams
  • Phytoestrogens (per 100 grams) – 329.5 mcg
  • Serving Size of Prunes – 248 grams
  • Phytoestrogens (per 100 grams) – 177.5 mcg
How To Include In Your Diet

These dried fruits are healthy as well as palatable. They are best enjoyed as a mid-day snack. Carry these with you to munch between meals.

Vegetables

12. Alfalfa Sprouts

These are one of the best choices to boost your estrogen levels. These sprouts are very low in carbohydrates and calories and are extremely healthy.

  • Serving Size – 33 grams
  • Isoflavones – 130 mg
  • Phytoestrogens (per 100 grams) – 441.4 mcg
How To Include In Your Diet

Alfalfa sprouts can be added to your salads, soups, or sandwiches to add a nutritional boost to your meal.

13. Mung Bean Sprouts

These are a great source of phytoestrogens, along with other nutrients like folate, iron, vitamin B-complex, and fiber.

  • Serving Size – 104 grams
  • Isoflavones – 238.99 mg
  • Phytoestrogens (per 100 grams) – 495.1 mcg
How To Include In Your Diet

You can have them boiled or raw, either as it is, or added to salads or soups.

14. Green Beans

Estrogen-rich green beans
Image: IStock

These vegetables are very low in calories and high in nutrients. Green beans are also a good source of iron, and iron-rich foods may lower the risk of ovulatory infertility.

  • Serving Size – 110 grams
  • Isoflavones – 42.9 mg
  • Phytoestrogens (per 100 grams) – 105.8 mcg
How To Include In Your Diet

Green beans can be added to sautéed vegetables or stir-fries. They can also be cooked as a curry and eaten with rice.

Fruits

15. Peaches

These delicious fruits are also very healthy. They are considered to be one of the best nutrient-dense foods and are high in phytoestrogens. Peaches are also said to help reduce the risk of heart diseases, stroke, and cancer (4).

  • Serving Size – 175 grams
  • Isoflavones – 4.55 mg
  • Phytoestrogens (per 100 grams) – 64.5 mcg
How To Include In Your Diet

Peaches are delicious fruits that can be eaten raw or made into desserts like peach cobblers or peach pies.

16. Strawberries

When it comes to fruits, strawberries are considered one of the foods rich in estrogen. Strawberries are not only rich in phytoestrogens, but they also possess a multitude of health benefits that include healthy skin and hair, increased energy levels, and a lower risk of obesity.

  • Serving Size – 152 grams
  • Isoflavones – 3.65 mg
  • Phytoestrogens (per 100 grams) – 51.6 mcg
How To Include In Your Diet

Strawberries can be eaten raw. You can add diced strawberries to plain yogurt, waffles, pancakes or oatmeal. You can also blend strawberries with another fruit, like banana, and make a healthy smoothie.

Legumes

17. White Beans

Estrogen-rich white beans
Image: IStock

White beans are extremely healthy – rich in phytoestrogens, fiber, and nutrients like iron, folate, and calcium. This helps balance estrogen levels in the body.

  • Serving Size – 179 grams
  • Isoflavones – 70 mg
  • Phytoestrogens (per 100 grams) – 72.7 mcg
How To Include In Your Diet

There are plenty of ways to enjoy white beans. You can toss boiled white beans in a salad or ground them into a paste and have it as a dip.

18. Black Beans

These are so healthy that they can be consumed every single day. They enhance fertility in women since they are rich in phytoestrogens. They are also a rich source of protein, fiber, antioxidants, and several vitamins and minerals.

  • Serving Size – 172 grams
  • Phytoestrogens (per 100 grams) – 5330 mcg
How To Include In Your Diet

Black beans taste great when added to soups or salads. You can also make a black bean spread and have it with carrot and cucumber slices.

Beverages

19. Red Wine

Red wine contains a phytoestrogen called resveratrol that increases estrogen levels in the body and also reduces the risk of cardiovascular diseases when you have it in moderation. For women, this dose translates to one glass of alcohol-containing beverage per day for women (5).

  • Serving Size – 30 ml
  • Isoflavones – 4.95 mg
  • Phytoestrogens (per 100 grams) – 53.9 mcg
How To Include In Your Diet

Red wine is best enjoyed as it is or along with a light snack like roasted peanuts. or with an evening meal. Drink this in moderation. Physicians recommend not more than 2 servings a day for men and 1 serving a day for women. (5)

Herbs

20. Garlic

Estrogen-rich garlic
Image: IStock

Garlic is very rich in isoflavones and provides a lot of health benefits. This estrogen-rich food ingredient is known to help reduce cholesterol and prevent heart diseases and cancer.

  • Serving Size – 9 grams (3 cloves)
  • Isoflavones – 1.8 mg
  • Phytoestrogens (per 100 grams) – 603.6 mcg
How To Include In Your Diet

You can add chopped garlic to soups, salads, sautés, stir-fries, pasta, and stews to add a boost of flavor.

Grains

21. Multigrain Bread

This contains a phytoestrogen known as lignan. This category includes grains like oats, barley, wheat, and rye.

  • Serving Size – 26 grams (1 slice)
  • Lignans – 1244 mg
  • Phytoestrogens (per 100 grams) – 4798.7 mcg
How To Include In Your Diet

Multigrain bread is usually a very common part of our diet. You can make a sandwich or spread peanut butter or cheese over toasted multigrain bread and have it for breakfast or as a snack.

While we know what foods have estrogen, how do we know if we are getting enough of it?

Let’s find out below.

Are You Getting Enough Estrogen? 

How do you know if you are getting enough estrogen in your diet?

You probably know better when you get it checked at a clinic or a hospital.

But here are some ways for you to ensure that you are doing your bit to maintain healthy estrogen levels in your body.

  • Look out for some symptoms that indicate a hormonal imbalance in the body, like irregular periods, insomniai  XA sleep disorder characterized by difficulty in falling asleep and staying asleep for an extended period. , hot flashes, erratic mood swings, vaginal dryness, decreased fertility, and loss of bone density (6).
  • Make sure you consume foods high in estrogen. Women do not get estrogen from their diet, but eating healthy foods that are rich in phytoestrogen gives the body a chance to produce estrogen naturally (7).
  • Reduce sugar intake. Research shows that consuming too much sugar is related to an imbalance of testosterone and estrogen levels in the body (8). Replace foods containing refined white flour with whole grains. This will also help in blood sugar control.
  • Make sure to do a moderate workout for about 30 minutes every day.
  • Quit smoking if you are a smoker. In premenopausal women, smoking is associated with menstrual dysfunction, infertility, and early onset of menopause (9).
  • Getting a good night’s sleep (7 to 8 hours) works wonders for the body. Research shows that sleep disturbances determine a woman’s overall health, especially her menstrual cycle, pregnancy, and menopause (10).

protip_icon Quick Tip
Irregular and lack of periods (amenorrhea) are symptoms of estrogen deficiency in young women. Amenorrhea is a common condition, affecting as many as 3–5% of young women (16).

All good. But how much of it do we need to consume per day?
Keep reading to find out.

Daily Recommendation Of Estrogen

Estradiol is a form of estrogen that is prescribed by physicians to treat low levels of estrogen in the body and menopausal symptoms like hot flashes, mood swings, and vaginal drying.

It is also commonly prescribed for the treatment of certain cancers.

Here is the recommended dosage for various purposes: (11)

    
Disease ConditionsOral IntakeTopical ApplicationVaginal Ring
Postmenopausal Symptoms0.45 mg to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

0.05 mg to 0.1 mg

For 3 months

Atrophic Urethritis1 to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

0.05 mg to 0.1 mg

For 3 months

Atrophic Vaginitis1 to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

0.05 mg to 0.1 mg

For 3 months

Hyperestrogenism1 to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

Oophorectomy1 to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

Primary Ovarian Failure1 to 2 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

Breast Cancer10 mg

Three times daily

Osteoporosis0.5 mg

Once daily

0.025 mg to 0.1 mg/day

Once-twice weekly

Prostate Cancer1mg to 2 mg

Three times daily

But what if you do not want to take medications to increase your estrogen levels? Are there any natural ways of doing so?

Of course! Let’s see what they are.

Natural Estrogen Supplements

Not everybody wants to take medications to increase their estrogen levels. For such people, there might be a few alternative natural treatments. Some of them are listed below:

  • Phytoestrogens

These are plant estrogens that are naturally present in some foods. They are widely promoted as the “natural alternative” for women who undergo estrogen replacement therapy or have had a hysterectomyi  XA surgical procedure to remove the womb (uterus) by making a small incision in your lower abdomen. . Isoflavones are the best form of phytoestrogens and are present in soy products. It is said that about 1 g of soybeans contains 1 mg of isoflavonesi  XPlant-based compounds that mimic estrogen in mammals and protect against diseases like osteoporosis and heart diseases. . Safe daily consumption is said to be 50 mg of isoflavones (12).

There are certain herbs like thyme and sage that contain estrogen-like compounds. These compounds mimic the effect of estrogen and help to balance its levels in the body.

  • Bioidentical Hormones

These hormones are so termed since their molecular structure is similar to the hormones that women produce naturally in their bodies. Bioidentical hormones are made from plant chemicals that are extracted from plant- based foods like yams and soy (13).

Bioidentical Hormone Therapy is a natural method since these hormones act just like the ones in the body, and the body cannot differentiate between the two.

  • Black Cohosh

A few women use this to treat symptoms like hot flashes, menstrual cramps, and premenstrual syndrome. Studies are being done on black cohosh for years, but there is no strong evidence that supports this claim (14).

Infographic: Most Easily Available Estrogen-Rich Foods

Estrogen plays an essential role in cholesterol metabolism and regulating women’s menstrual cycle. So it is crucial to maintain the level of this hormone, as discussed in this article. Many food items are rich in estrogen, but it may be challenging to find all of them.

Check out the infographic below to know about the most readily available estrogen-rich food.

most easily available estrogen rich food (infographic)

Illustration: StyleCraze Design Team

Get the high-quality PDF version of this infographic.

Download Infographic in PDF version

Estrogen levels are responsible for the libido of women, although men also have this hormone in smaller quantities. The hormone plays a key role in women’s health, starting from regulating the menstrual cycle and reproductive tract to being responsible for a healthy cardiovascular system and secondary sexual characteristics.

You can stop this hormone from dwindling by consuming foods that are natural estrogen sources like meat and poultry, fish and seafood, flax seeds, soy products, walnuts, strawberries, peanuts, red wine, garlic, and multigrain bread. It is important to complement this diet with strength training and a stress-free lifestyle for effective results. Consult a doctor immediately if you experience symptoms like irregular periods, hot flashes, sleeplessness, and mood swings, which result from low estrogen levels.

Frequently Asked Questions

Do bananas increase estrogen?

Blanca Garcia, Registered Dietitian Nutritionist, says, “Compared to soy-based products, bananas have negligible phytoestrogen (plant-based estrogen) content. Hence, consumption will not cause a significant increase in estrogen levels.”

What triggers low estrogen?

According to Garcia, “Low estrogen levels can be seen in eating disorders, severe emotional/psychological stress, excessive exercise, and menopause. Each of these conditions has a unique mechanism for why estrogen levels are low, and treatment is based on these underlying factors.”

Does turmeric increase estrogen levels?

Garcia says, “Turmeric contains a biological compound known as curcumin. It has been demonstrated in numerous studies that curcumin inhibits estrogen activity in reproductive tumors, suggesting that it has antitumor properties. In this case, turmeric reduces estrogen activity rather than increasing it.”

Do all men have estrogen?

Yes, they do. But in a much smaller concentration than women.

Are “natural” alternatives safer or more effective than hormone therapy?

The FDA does not have evidence regarding natural methods. But studies show that they are effective as alternate methods. Please consult with your physician to determine the best therapy for you. We are recommending these foods based on the fact that most people do not consume the recommended amounts of fruits and vegetables, whole foods, nuts and seeds, and legumes, all good sources of estrogens. It’s always a good idea to discuss extra therapies with your physician, though.

Are eggs high in estrogen?

Yes. In a study, the consumption of chicken eggs was linked to an increase in estradiol, a form of estrogen hormone (15).

Does vitamin D increase estrogen?

Yes. Vitamin D is a critical factor in the synthesis of the estrogen hormone (16).

What happens when estrogen is low?

Low estrogen levels may hinder the development of secondary sexual characteristics, induce hot flashes, and lead to mood swings.

Is milk high in estrogen?

Possibly. Dairy products like milk may contain estrogen and similar hormones that are transferred from the cow to the milk (17).

Is avocado high in estrogen?

Possibly not. However, anecdotal evidence suggests that avocados may hinder estrogen absorption and may help balance estrogen levels.

Can vitamin C increase estrogen levels?

Yes. Studies have found that vitamin C boosts estrogen levels in post-menopausal women on hormone therapy (18).

What is the most potent estrogen?

Out of the three estrogen hormones, estradiol is the most potent (19).

Does ginger lower estrogen levels?

Possibly not. A study showed that ginger honey significantly increased the concentration of estrogen in mice (20).

Key Takeaways

  • Estrogen is a hormone produced in women that may maintain reproductive health.
  • Estrogen also regulates heart health, bones, skin, and hair.
  • Flax seeds are considered to be the best source of estrogen that may lower cholesterol.
  • Peaches and garlic containing phytoestrogens may prevent certain cancers and heart diseases.
estrogen rich foods

Image: Stable Diffusion/StyleCraze Design Team


References

Articles on StyleCraze are backed by verified information from peer-reviewed and academic research papers, reputed organizations, research institutions, and medical associations to ensure accuracy and relevance. Read our editorial policy to learn more.

  1. “What Is Estrogen?”
  2. “Menstrual cycle: basic biology”. US National Library of Medicine. 2008.
  3. “Estrogen’s Effects on the Female Body”. University of Rochester Medical Centre. Paula Goode, Daniel Sacks.
  4. “Determination of Biochemical Composition…”. Foods, 2020.
  5. Drinking levels defined”. National Institute on Alcohol Abuse and Alcoholism.
  6. “Perimenopause”. Perimenopause. Mayo Clinic. Oct 2016.
  7. “Phytoestrogens and Their Health Effect,”. Open Access Macedonian Journal of Medical Sciences, 2019
  8. “Too Much Sugar Turns Off Gene That Controls The Effects of Sex Steroids”. Child and Family Research Institute. Nov 2007.
  9. “Cigarette Smoking and Effects of Hormone Function in Premenopausal Women”. Environmental Health Perspectives. Oct 2005.
  10. “Sleep, Sleep Disturbance and Fertility in Women”. Sleep Med Rev. Aug 2015.
  11. Estrogen (oral route, parenteral route...”. MayoClinic.
  12. “Are Phytoestrogens a Natural Alternative to Estrogen Replacement Therapy”. Milo Gibaldi. Oct 2000.
  13. “What Are Bioidentical Hormones”. Harvard Health Publications. Aug 2006.
  14. “Black Cohosh”. Black Cohosh. National Center for Complementary and Integrative Health. Sept 2016.
  15. “https://pubmed.ncbi.nlm.nih.gov/27440539/”. The Western dietary pattern is associated with increased serum concentrations of free estradiol in postmenopausal women: implications for breast cancer prevention
  16. “https://pubmed.ncbi.nlm.nih.gov/10746634/”. Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads
  17. “https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4524299/”.Hormones in Dairy Foods and Their Impact on Public Health – A Narrative Review Article
  18. “https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221897/”.Dietary Vitamin C and Age-Induced Lipid and Hormonal Metabolic Changes in a Humanized Mouse Model Not Synthesizing Vitamin C and Producing Lipoprotein(a) [Gulo (−/−); Lp(a)+]
  19. “https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866684/”.Dietary Vitamin C and Age-Induced Lipid and Hormonal Metabolic Changes in a The structural biology of oestrogen metabolism
  20. “https://pubmed.ncbi.nlm.nih.gov/34929824/”. Ginger honey affects cortisol, estrogen and glutathione levels; preliminary study to target preconceptional women
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