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Mexico has a high prevalence of obesity, at 36.86 percent, and a diabetes prevalence rate of 16.4 percent

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33-35 Although single studies evaluating the efficacy of metformin for treatment of hirsutism in patients with PCOS have shown potential benefits, 36-38 meta-analyses showed no significant effects of metformin compared to placebo or oral contraceptives and decreased benefits compared to spironolactone and flutamide

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