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Diabetes can also lead to “diabetic encephalopathy (DE),” a condition encompassing ischemic stroke, transient ischemic attacks, vascular dementia, and neurodegenerative changes
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Notably, this review synthesizes evidence from preclinical mechanistic studies, clinical metabolic data, and interventional trials to construct a cohesive pathogenic model that links fatty acid turnover, adipokine imbalance, macrophage polarization, and inflammasome activation to the endocrine and reproductive disturbance characteristics of PCOS
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