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Animal studies have demonstrated that semaglutide upregulates the adenosine monophosphate activated protein kinase (AMPK)/ Sirtuin 1 (SIRT1) signaling pathway while inhibiting the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-B) pathway in ovarian tissue, thus reducing inflammation and improving sex hormone levels in mice with PCOS [32]

Quantitative image findings, including elastography or Fibroscan, were not performed either, as the facility did not have the equipment

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