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considered potential causes ( 6 ). However, increasing evidence ( 7 ) shows that insulin resistance and compensatory hyperinsulinemia play an important role in the pathogenesis of PCOS. The progression of insulin resistance as well as the regulation of
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obese PCOS women, visceral adiposity, insulin resistance (IR), and compensatory hyperinsulinemia are usually the triggering pathogenetic factors, whereas androgen excess is frequently mild and sometimes secondary to visceral obesity and IR ( 2
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well as an increased risk of developing insulin resistance, metabolic syndrome, and osteoporosis ( 1 ). Low to low-normal serum concentrations of testosterone are seen in most adults with KS, but nearly all have highly elevated concentrations of
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concentrations of total cholesterol (TC), TG, HDL-c, and LDL-c were estimated by HITACHI 7450 analyzer (Hitachi). Fasting insulin concentration was measured using electrochemiluminescence immunoassay (Roche Elecsys Insulin Test, Roche Diagnostics). Fasting blood
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Introduction Growth hormone (GH) is a pituitary hormone with pleiotropic effects. After being secreted into the general circulation, GH binds to its receptor with subsequent direct effects and insulin-like growth factor (IGF)-mediated effects
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Department of Medicine, University of Padova, Padova, Italy
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that KS is not only associated with testosterone deficiency, but – in a wider perspective – it is a cause of global impairment of the testicular function. Leydig cells, in fact, under the control of LH/hCG, also produce the peptide hormone insulin
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factors, including leptin, adiponectin, ghrelin, and insulin, which are known to have an impact on puberty initiation ( 7 ). It is known that obese boys and girls tend to undergo an earlier timing of puberty ( 8 ). A certain threshold of body fat stores (i
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relation between PCOS and BD is less well-known. PCOS is associated with central obesity, dyslipidemia, hypertension, and insulin resistance ( 7 ), which all have been described to decrease BD ( 8 , 9 , 10 , 11 ). However, hyperandrogenism, one of the
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, which are widely accepted contributors to insulin resistance ( 3 ). The hypogonadal pathology assumption remains challenged, given cardiometabolic disease risk factors are identified in younger cohorts of boys with KS naïve to years of hypogonadism, as
Molecular Reproductive Research Group, Department of Translational Medicine, Lund University, Malmö, Sweden
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included in the study. Exclusion criteria: Smoking, cortisone or interferon treatments in the last 3 months, recent infections or inflammatory diseases, HIV infection anti-diabetic/insulin therapy, opioids, glucocorticoids or any other anti