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Further, co-occurrence of autoimmune atrophic gastritis with other autoimmune conditions, especially autoimmune thyroiditis and type 1 diabetes mellitus, has been reported (11, 12)

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We propose that dysbiosis promotes ferroptosis in ovarian granulosa cells through disrupted iron homeostasis, diminished production of protective microbial metabolites, and systemic inflammation, collectively contributing to the reproductive and metabolic disturbances in PCOS

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Its stimulant-free mechanism reduces the risk of anxiety or cardiovascular stress, making it suitable for a broader range of patient profiles , including those with type 2 diabetes or metabolic syndrome