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This can lead to hormonal changes and trigger the body to produce an excess of male hormones, which could cause the ovaries to not release an egg

Joint ADS/ANZSNM guideline for FDG PET/CT imaging in patients with type 1 and type 2 diabetes

Cell Metab 9(3):252264 Bindesbll C, Fan Q, Nrgaard RC, MacPherson L, Ruan H-B, Wu J et al (2015) Liver X receptor regulates hepatic nuclear O-GlcNAc signaling and carbohydrate responsive element-binding protein activity

For most, the bigger narrative is how these shifts echo throughout the body

So, what's happening
