Healthy changes to a diet can take three months to a year to take effect, The Association reports. Women should remove artificial sweeteners, alcohol, recreational drugs and cigarettes from their diet, and start stocking up on folic acid, calcium and other vitamins. In addition, they should begin weaning themselves off caffeine. This will be easier than going cold-turkey once the pregnancy does take place. In addition, research has shown that caffeine can reduce fertility by up to 27 percent.
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