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8 Conclusion PCOS is fundamentally characterized by interconnected pathological axes encompassing dysregulated glucose-lipid metabolism (manifesting as IR and obesity), HA, chronic inflammation with oxidative stress, and ovulatory dysfunction

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Side effects can depend on which NAD precursors are used in supplements, too

Some patients explore MIC injections as a complementary approach alongside GLP-1 receptor agonist medications, though no research specifically validates this combination