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There is ongoing debate regarding the specific independent risk factors associated with early miscarriage in PCOS

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Glucose Metabolism: Growth hormone is known to impair glucose tolerance and insulin sensitivity, sometimes precipitating diabetes or worsening glycemic control in diabetic patients

Phillips et al., 2008

It arises from chronic energyprotein deficiency, systemic inflammation, and endocrine alterations, and mediates the link between traditional nutritional indicators and postoperative outcomes (e.g., infections, delayed wound healing and prolonged recovery)