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In their systematic review, Athanasiadis et al

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You already monitor metabolic parameters (lipids, glucose, weight) for patients on psychiatric medications

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Medicine use was identified through the Danish National Prescription Registry and defined as any redemption of a prescription 180 days before treatment initiation (a list of ATC codes is available in Table S3)

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In PCOS patients, an overabundance of Bacteroides vulgatus disrupts the farnesoid X receptor (FXR) signaling pathway, leading to bile acid pool dysregulation and exacerbating insulin resistance and ovarian dysfunction (68)

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Mood Changes : While less common, some people notice anxiety or mood shifts

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Med Sci Monit (2020) 26:e920989

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