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However, excessive body fat is linked to chronic pain
doi: 10.1111/all.14879 101 HurJKangJYKimYKLeeSYLeeHY
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Across analyses, a recurring contrast is observed between (i) a reproductive subtypeoften reported as higher LH and SHBG with elevated androgens despite comparatively lower BMI and fasting insulinand (ii) a metabolic subtype, characterized by higher adiposity with higher glucose/insulin measures and lower SHBG (and, in some reports, lower LH) (51)