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doi: 10.1111/jne.12799

Phase 3 trials are ongoing, and no regulatory submission has yet been made to the MHRA or EMA

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The polyunsaturated fatty acids (PUFAs) within mitochondrial and cellular membranes are particularly vulnerable to ROS-mediated peroxidation, yielding cytotoxic byproducts such as MDA and 4-hydroxynonenal (4-HNE) ( 2.3 IR, HA, and inflammation as endocrine correlates of OS IR, HA, and chronic low-grade inflammation constitute the central endocrine correlates of OS in PCOS ( Androgen excess further exacerbates OS by stimulating nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity, increasing LPO, and impairing mitochondrial redox homeostasis within ovarian and adipose tissues ( 2.4 Redox-endocrine vicious cycle in PCOS The pathophysiology of PCOS is underlined by a self-reinforcing redox-endocrine loop that integrates OS, hormonal dysregulation, and metabolic dysfunction into a persistent pathological circuit

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