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This is vital, as weight loss can sometimes result in muscle loss if protein intake is low

Discussion The present study reported that the use of a combination of nutraceutical compounds, specifically acetyl-L-carnitine, L-carnitine, L-ARG and NAC, was effective in reducing IR and in improving insulin sensitivity and HIE in obese PCOS patients

Liver fibrosis was staged according to liver stiffness measurement (LSM) 8 kPa significant fibrosis (F2-3-4)

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Cardiovascular disease, history of stroke, or elevated inflammatory markers further strengthen the case

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