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Exclusion criteria applied across all domains were: non-English language publications, case reports, and conference abstracts without full-text data

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Randomized controlled trials (RCTs) report that IF reduces androgen markers, including total testosterone and free androgen index, in premenopausal females with obesity, while producing modest declines in testosterone among lean males without significantly affecting LH secretion [55]

Results: The morphology of both tumors showed small round cells and large, pigmented epithelial cells