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doi: 10.3109/03014460.2011.592513 9 CarreiroMNogueiraARibeiro-OliveiraA

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A study that followed 1,156 patients with severe obesity for 12 years found those who underwent gastric bypass surgery at the beginning of the study maintained an average weight loss of 35 kg while those who did not have surgery maintained an average weight loss of 02.9 kg

Taken together, the effects of hyperinsulinemia lead to a hyperandrogenic state in the ovary resulting in follicular atresia and ovulatory dysfunction

Wang ZY, Liu YY, Liu GH, Lu HB, Mao CY (2018) L-carnitine and heart disease