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[DOI] [PMC free article] [PubMed] [Google Scholar] 201.Sugita S., Shimizu N., Watanabe K., Mizukami M., Morio T., Sugamoto Y., Mochizuki M

Presl), rich in terpenoids and glycosides, improves insulin sensitivity, regulates menstrual cycles, and modulates glucose metabolism ( Berberis aristata Lindl.) provides berberine, which lowers leptin levels, improves insulin resistance, reduces oxidative stress, and supports lipid metabolism ( Vitex agnus-castus L.) contains agnuside and flavonoids that restore menstrual regularity and enhance fertility outcomes by modulating prolactin and estrogen balance ( Curcuma longa L.), which contains curcumin, luteolin, and apigenin, lowers androgen levels, increases estrogen, and provides strong antioxidant and anti-inflammatory effects ( Urtica dioica L.) supplies flavonoids, polyphenols, and sterols that reduce hirsutism, regulate inflammatory markers, and exert antioxidant activity ( Mentha sp icata L.), fenugreek ( Trigonella foenum-graecum L.), parsley ( Petroselinum crispum (Mill.) Nym.), green tea ( Camellia sinensis (L.) Kuntze), ginger ( Zingiber officinale Roscoe), licorice ( Glycyrrhiza glabra L.), black seed ( Nigella sativa L.), pomegranate ( Punica granatum L.), and raspberry ( Rubus idaeus L.) have also been documented to exert diverse benefits including anti-androgenic effects, improved ovarian function, enhanced insulin sensitivity, reduced ovarian volume, lipid metabolism regulation, and restoration of endocrine balance ( Table 2 Herbs/botanicals, natural bio-actives, and their pharmacodynamic action in PCOS management

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355 Physiological levels of ammonium in the blood are about 1020 M, but following liver failure ammonium rise to millimolar levels