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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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It may also increase the risk of dehydration and low blood sugar, particularly in people taking other diabetes medications

Therefore, adequate hydration is non-negotiable here because it helps prevent constipation and reduces the risk of the powder swelling in the throat