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3 Resveratrol improves abnormal lipid metabolism Obesity, particularly central adiposity, is a prevalent comorbidity in PCOS, affecting 30%70% of patients ( Dyslipidemiacharacterized by elevated low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol (TC), alongside reduced high-density lipoprotein cholesterol (HDL-C)is prevalent in PCOS, with severity correlating positively with body mass index (BMI) ( 3.1 Regulation of lipid metabolism-related signaling pathways Adipocyte differentiation involves a transcriptional cascade orchestrated by CCAAT/enhancer-binding protein (C/EBP), sterol regulatory element-binding protein 1c (SREBP-1c), and PPAR-, which collectively drive the morphological transition of a fibroblastic cell shape to a spherical one ( IGF-1 modulates adipocyte metabolism through insulin-mimetic mechanisms, suppressing lipolysis and influencing carbohydrate-lipid crosstalk

Although the anxiety and depression symptom instruments that were used have been validated, they are self-report questionnaires and only evaluated symptom severity, and they do not necessarily have diagnostic value

doi: 10.1016/j.drudis.2008.01.006 32