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Some studies have suggested that the proliferation and apoptosis of granulosa cells (GCs) are the root causes of follicular development and atresia, with forkhead box protein O1 (FoxO1) playing an important role in promoting PCOS follicular atresia and GCs apoptosis (162, 163)
[DOI] [PMC free article] [PubMed] [Google Scholar] 167.Bliddal H., Bays H., Czernichow S., Hemmingsson J.U., Hjelmesth J., Morville T.H., Bliddal H., Bays H., Czernichow S., Hemmingsson J.U., et al
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It also supports gut health by encouraging beneficial bacteria, which can have a ripple effect on metabolism
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Some people also report mild fatigue or low energy as their body adjusts, especially if appetite changes lead to smaller meals
