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While the findings add to growing interest in the relationship between metabolic health, weight management, and reproductive function, the study authors advise caution and note that further research is necessary to investigate this association

Metformin was compared to vitamin E and dietetic intervention alone: aminotransferase levels improved in all groups, in association with weight loss, but the effects in the metformin group were more pronounced [40]

Androgens (like testosterone) are often the primary drivers in HS

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