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A high testosterone level may be due to PCOS and can impair ovarian function and fertility

In addition, PCOS is associated with long-term health risks such as dyslipidemia, cardiovascular disease, insulin resistance, type two diabetes mellitus, obesity, alterations of the fibrinolytic system, and metabolic syndrome [12,13]

Cis and trans fatty acids Unsaturated fatty acids can form geometric isomers, with either cis or trans, depending on the stereo-conformation of groups around a double bond

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