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At the same time, bile acid signaling pathways, including the farnesoid X receptor (FXR)FGF15 and TGR5glucagon-like peptide-1(GLP-1) axes, are disrupted, further promoting hepatic lipid accumulation and immune dysregulation

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Four out of eight studies showed a significant increase in the number of follicles18mm in size in the intervention group, and one study had higher appropriately sized follicles in the control group [30-32]

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