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Recent clinical and preclinical studies have demonstrated that metformin not only ameliorates insulin sensitivity, but also facilitates glucose-lipid reverse transport, alleviates hormone imbalances induced by glucose metabolic irregularities, and ameliorates symptoms associated with hormonal dysregulation in patients with PCOS (Shen et al., 2022

3.11 Enzymatic activity of MDH The enzymatic activity of the proposed MDH was initially demonstrated in pathway reconstitution experiments