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Patients living with obesity and PCOS often present significant visceral fat accumulation, resulting in elevated free fatty acid release that contributes to increased hepatic total cholesterol synthesis and dyslipidemia, manifesting as elevated triglyceride, total cholesterol, and LDL-C levels

High GGT levels can indicate liver damage or bile duct issues

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Consult your healthcare provider about appropriate doses, especially if you have anemia or absorption concerns

The GRADE framework assesses the quality of evidence across five domains: risk of bias, directness of evidence, heterogeneity, precision of effect estimates, and risk of publication bias

We identified self-harm and completed suicide on the basis of ICD-10 codes X60-84 and Y87.0 (a complete description of codes can be found in supplementary table S1)