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Macrophage colony stimulating factor MCSF is a proinflammatory marker increased in obesity, and overexpression of MCSF in adipose tissue increased adiposity in transgenic animals Levine et al |Teoh, Pek Joo; Maheshwari, Abha Despite the development of in vitro fertilization IVF more than 30 years ago, the cost of treatment remains high.

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This case raises a of medical, social, psychological, and ethical issues.

As a result of advances in technology and understanding of human reproduction, IVF success rates have increased while high-order multiple pregnancy triplets and more rates have decreased. Latest technologic and scientific improvements in IVF are promising.]