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SPCD leads to increased carnitine excretion in the urine and low levels in plasma
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]
Interactions between urinary 4-tert-octylphenol levels and metabolism enzyme gene variants on idiopathic male infertility
