Zhejiang Univ
In addition, exercise activates the AMPK signaling pathway, accelerating fatty acid -oxidation, effectively reducing hepatic lipid accumulation, and improving blood lipid profiles, as evidenced by increased HDL levels and decreased LDL levels (Bekheit et al., 2025)
doi: 10.1016/j.jchromb.2016.04.021 66 SlaekGKotnikPOsmiAPostrunikVKnezFingarMet al
Therefore, it can be concluded that metformin is an effective treatment for PCOS in conjunction with MS

Disclosures: Eduardo Vilar-Gomez: Nothing to Disclose, Katherine Yates: Nothing to Disclose, David Kleiner: Nothing to Disclose, Cynthia Behling: Pacific Rim Pathology Lab: Employee, Novo Nordisk: Consultant, Pathology Institute: Consultant, Oscar Cummings: Nothing to Disclose, Laura Wilson: Nothing to Disclose, Tiebing Liang: Nothing to Disclose, Chaowapong Jarasvaraparn: Nothing to Disclose, Rohit Loomba: Eli Lilly and Company: Consultant, Jeffrey Schwimmer: Intercept: Grant to institution, Seraphina: Grant/Research Support, Intercept: Grant/Research Support, Merck: Consultant, Arun Sanyal: Genfit, Akarna, Tiziana, Durect, Inversago, Hemoshear, North: Stock - publicly traded company, Astra Zeneca ( 60K), Boston Pharmaceutical ( 18) enrolled between 2016-2023 in the TARGET-NASH longitudinal cohort includes patients receiving routine clinical care in the US meeting criteria for non-cirrhotic MASH, MASH with compensated cirrhosis or MASH with decompensated cirrhosis, based on TARGET-NASH definitions, were included in this analysis

The highest abundance functional categories were associated with metabolism, which primarily consisted of carbohydrate, amino acid, energy, and nucleotide metabolism (Fig