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Prolonged homeostatic disruption impairs protein degradation processes, weakens molecular chaperone capacity, fosters inflammation, and incites mitochondrial damage through ROS/Ca 2+ , potentially affecting the follicular microenvironment and oocyte developmental potential [332, 333]

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GLP-1 plays a crucial role in regulating blood sugar levels by enhancing insulin secretion, suppressing glucagon release, and slowing gastric emptying

Such differences must be medically necessary and documented for individual patients