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38 Even when relevant food sources are available, many different factors contribute to inadequate micronutrient levels in women, such as a lack of awareness of healthy food sources, dietary choices (eg, a vegan or vegetarian diet), and religious and cultural aspects (such as long, concealing clothing) or excessive use of sun blocker, which may both lead to insufficient sun exposure, and pre-existing metabolic disorders such as obesity, diabetes, and polycystic ovary syndrome