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Preliminary data suggest that GLP-1RAs may be effective in the treatment of hypothalamic obesity, and the presence of GLP-1R in various regions of the hypothalamus and in other regions of the brain explains the potential effectiveness of GLP-1RAs even in cases of hypothalamic damage [16]

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GLP-1 has a variety of physiological functions, which can regulate blood glucose level by promoting insulin secretion and synthesis, stimulating -cell proliferation and inducing islet regeneration, inhibiting -cell apoptosis and glucagon release, delaying gastric emptying and controlling appetite (Mller et al., 2019

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For instance, dysregulated miR-93-3p targets the PI3K/AKT signaling pathway, disrupting granulosa cell proliferation and apoptosis and ultimately arresting follicular development ( Above all, Epigenetic dysregulation in PCOSincluding DNA methylation, histone modifications, and non-coding RNA alterationsdisrupts ovarian function, hormone balance, and insulin signaling, contributing to hyperandrogenism, metabolic dysfunction, and impaired folliculogenesis

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