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This means it works by mimicking a hormone in your body that helps to regulate blood sugar levels

Figure 1 2 Oxidative stress and inflammation in endometriosis There is evidence that endometriosis can be caused by retrograde menstruation (17), endometrial implantation, epithelial transformation (18), hormonal effects (19), and immune system dysfunction (20)

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Overall, convergent evidence supports MI as a viable first-line adjunct for metabolic-reproductive coupling in PCOS, particularly where metformin intolerance limits adherence