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Some patients report improved digestion, while others notice mild constipationboth are manageable with hydration and dietary adjustments

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For example, the Rotterdam criteria permit a phenotype defined by ovulatory dysfunction and PCOM in the absence of hyperandrogenism, whereas the NIH criteria require hyperandrogenism together with ovulatory dysfunction

Thyroid follicles are damaged and may be ruptured during inflammation

Availability of data and materials Not applicablenew data or materials were used for this manuscript