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The pregnancy rate (2.4%) was higher than expected for that population without treatment

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doi: 10.1007/s10735-012-9454-7

Since cognitive behavioral therapy for insomnia (CBTi) can enhance sleep quality and support endogenous antioxidant defenses, combining natural sleep interventions with pharmacological NRF2 activators such as dimethyl fumarate and sulforaphane may reinforce these pathways, stabilizing sleep patterns, reducing pain hypersensitivity, and improving fatigue