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Additionally, HA promotes the secretion of and pro-inflammatory factors, subsequently suppressing folliculogenesis and ovulation, resulting in a cascade of events including pyroptotic death of ovarian GCs, follicular dysfunction, and ovarian interstitial cell fibrosis (15, 142)

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PAD Hiatt 2001 American Journal of Medicine RCTn=155 Propionyl-L-carnitinePLC 2 g 12 54%vs