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Abbreviations PCOS Polycystic Ovary Syndrome IR Insulin Resistance BMI Body Mass Index LH Luteinizing Hormone FSH Follicle-Stimulating Hormone AMH Anti-Mllerian Hormone GnRH Gonadotropin-Releasing Hormone HG Hyperinsulinemia ACTH Adrenocorticotropic Hormone DHEA Dehydroepiandrosterone DHEAS Dehydroepiandrosterone Sulfate HOMA-IR Homeostatic Model Assessment of Insulin Resistance HDL High-Density Lipoprotein LDL Low-Density Lipoprotein VLDL Very Low-Density Lipoprotein TAC Total Antioxidant Capacity GSH Glutathione MDA Malondialdehyde SHBG Sex Hormone-Binding Globulin hs-CRP High-Sensitivity C-Reactive Protein TRPV1 Transient Receptor Potential Vanilloid 1 EPA Eicosapentaenoic Acid DHA Docosahexaenoic Acid CoQ10 Coenzyme Q10 NAC N-Acetyl Cysteine CrP Chromium Picolinate RCT Randomized Controlled Trial CC Clomiphene Citrate LCKD Low-Carbohydrate Ketogenic Diet GL Glycemic Load GI Glycemic Index PP Premature Pubarche SCAD Stable Coronary Artery Disease Author contributions Author Contributions StatementA.A.M.S

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