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But beneath that reproductive definition sits a metabolic core: insulin resistance and compensatory hyperinsulinemia are present in a large majority of affected women estimates commonly range from roughly 65% to 95% depending on the population and the assay used and are now regarded as major drivers of the syndromes reproductive and metabolic features

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[DOI] [PMC free article] [PubMed] [Google Scholar] 103.Iwabu M., Okada-Iwabu M., Yamauchi T., Kadowaki T

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