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10.3389/fendo.2018.00024 Front

Obesity and IR are common risk factors for inflammation, and chronic low-grade inflammation may be more severe in obese and IR women with PCOS ( Previous studies have indicated that metformin exerts anti-inflammatory effects through the inhibition of several pro-inflammatory signaling pathways, such as MAPK, nucleotide-binding oligomerization domain (NOD)-like receptors, leucine-rich repeats (LRRs), and NLR family pyrin domain containing 3 (NLRP3) inflammasome (Zhang et al., 2017)

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Ironically, it's use shot up because of this

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This greatly improves its ability to remain intact in the gut and allows a greater concentration to be absorbed into the bloodstream where it can take effect