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In women with PCOS, circulating levels of inflammatory markers such as C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor- (TNF-) are significantly elevated ( 2.5 Environment and lifestyle Environmental exposures and lifestyle choices significantly influence PCOS risk

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In mammals, a deficiency of carnitine causes dyslipidemia and severe lipid accumulation ( Reference Pons and De Vivo 6 , Reference Scholte, Pereira and Jonge 7 ) , and carnitine has been used as a functional food additive to promote FA oxidation and treat metabolic diseases, such as diabetes and obesity ( Reference Mingrone 8 Reference Stephens, Constantin-Teodosiu and Laithwaite 10 )