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We aligned nomenclature and reporting to ConPhyMP and the Four Pillars, ensuring transparency on botanical drug identity, extract type/characterization (when applicable), and pharmacological context

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An intrinsic dysfunction phenotype implies failure to enter or sustain a receptive state despite apparently appropriate timing, often through immune activation, impaired decidualisation trajectories, or abnormal stromalepithelial crosstalk, and therefore warrants etiologic investigation and targeted management rather than calendar-based adjustment [291, 297, 299]