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The cell viability was indirectly determined by examining the ratio of the absorbance value of metformin/ H 2 O 2 -treated cells relative to the control cells
Subsequently, several clinical syndromes related to carnitine deficiency and primary carnitine deficiency caused by autosomal recessive genetic inheritance were reported, including systemic carnitine deficiency (SCD) and myopathic carnitine deficiency (MCD)
Factors such as baseline nutritional status, gut microbiome composition, genetic polymorphisms, and severity of PCOS symptoms may alter the response to supplementation 63
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