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4.4 Risk of decreased pelvic floor function in PCOS Multiple mechanisms contribute to reduced pelvic floor function in patients with PCOS, including hormonal imbalances, metabolic disturbances, inflammatory responses, and biomechanical alterations (71)

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None of the studies specifically enrolled patients with anemia and ESA hyporesponsiveness or identified a specific subset of patients particularly likely to respond to L-carnitine administration

Statins and Neuromuscular Side Effects Discusses potential statin-related side effects relevant to mitochondrial energy metabolism