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188 Excessive secretion of prolactin, known as hyperprolactinemia, can lead to symptoms that mimic PCOS, so prolactin level are sometimes obtained to rule this out

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Collectively, these data suggest that enrichment of Escherichia-Shigella is not only a compositional hallmark of RE-associated dysbiosis but also a functionally relevant pathobiont shift that couples barrier collapse with IL-6-JAK/STAT3-driven and TLR4-NF-B-driven increased inflammatory responses, thereby sustaining a feedforward injury loop 120

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