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Insulin resistance (an impaired response to insulin that results in elevated glucose levels) affects around 65-70% of women with PCOS, and for those also living with obesity, that number climbs to 70-80%

PubMed PMID: 24373234

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10.3390/molecules27123941 2 AliW.DengK.BianY.LiuZ.ZouH

There's no clear evidence yet that these drugs are directly causing pancreas damage

Acetyl L Carnitine Hydrochloride Acetyl L Carnitine Hydrochloride (ALC-HCl) is a naturally occurring derivative of the amino acid L-carnitine, playing a crucial role in cellular energy production and neurological function