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Obesity: Excess body fat, especially abdominal fat, increases insulin resistance and impairs the ability of cells to use insulin effectively, and leads to elevated blood sugar levels

This hormonal environment suppresses the hypothalamicpituitary axis, reducing the secretion of the gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and follicle-stimulating hormone (FSH), thereby preventing ovulation

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