This review synthesizes available evidence, explores mechanistic pathways, and provides guidance for clinicians counseling reproductive-aged patients receiving GLP-1 RAs
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Reproductive Biomedicine Online
Common side effects include mild nausea and gastrointestinal discomfort similar to GLP-1 receptor agonists
3 Resveratrol improves abnormal lipid metabolism Obesity, particularly central adiposity, is a prevalent comorbidity in PCOS, affecting 30%70% of patients ( Dyslipidemiacharacterized by elevated low-density lipoprotein (LDL), triglycerides (TG), and total cholesterol (TC), alongside reduced high-density lipoprotein cholesterol (HDL-C)is prevalent in PCOS, with severity correlating positively with body mass index (BMI) ( 3.1 Regulation of lipid metabolism-related signaling pathways Adipocyte differentiation involves a transcriptional cascade orchestrated by CCAAT/enhancer-binding protein (C/EBP), sterol regulatory element-binding protein 1c (SREBP-1c), and PPAR-, which collectively drive the morphological transition of a fibroblastic cell shape to a spherical one ( IGF-1 modulates adipocyte metabolism through insulin-mimetic mechanisms, suppressing lipolysis and influencing carbohydrate-lipid crosstalk
Supporting this concept, a recent preclinical study demonstrated that chronic exposure to the absorption enhancer SNAC significantly altered gut microbial community structure, reduced the abundance of saccharolytic bacteria and fecal butyrate levels, and was associated with changes in inflammatory markers, suggesting that components of the oral formulation itself may influence hostmicrobiome interactions independently of systemic GLP-1 receptor activation (53)
