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However, a significant challenge in evaluating kidney outcomes lies in the inconsistent definitions of renal endpoints across studies, particularly regarding the thresholds for substantial eGFR decline, which vary from 30% to 57%

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Every 3-6 months, individuals should honestly evaluate their current protocols: Are symptoms controlled

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Also, experiment using acupuncture with metformin for obesity-type PCOS patients with infertility showed much more effective results in reducing BMI, improving hyperandrogenism and IR, and increasing the rate of pregnancy and ovulation compared with acupuncture alone and acupuncture placebo + metformin [146]