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* Karen is a 39-year-old African American female you follow for tubal factor infertility. During her first IVF cycle, she develops severe ovarian hyperstimulation syndrome (OHSS) 5 days after her hCG trigger. Her body mass index is 28 kg/m2, and her AMH is 1.7 ng/mL.

Which of the following factors increases this patient’s risk for OHSS? (Choose two).

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