Our expert says:
As mentioned in numerous previous postings it is not necessary to supplement if the diet is adequate and if biochemical parameters are within the norm. Unfortunately most supplements have not been tried and tested in large multicentric studies and many of the reports are purely anecdotal. While there is an association between zinc, selenium and other trace elements and better performance in the laboratory situation, this does not always translate to the clinical situation. It would be necessary to establish trace element deficiency by means of blood tests first before supplementation and this is extremely difficult to do in routine clinical practice. Hence the use of supplements is purely circumstantial and only in cases where there is a proven dietary deficiency or cases where a malabsorption syndrome exists would I recommend the use of such supplements. However, the certain basic substances such as folic acid are important since this has been proven to enhance not only fertilisation, but also implantation.
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