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MS is a major social health problem, particularly in developed nations such as the United States but also in Europe, with a prevalence of 20 and 30%, respectively ( Several studies have demonstrated that females with MS, inadequate metabolic control and primary or secondary amenorrhea show low levels of LH and FSH, associated with a lack of residual insulin secretion ( Interestingly, all therapeutic approaches used for the correction of insulin homeostasis in obese and MS patients, such as Thiazolidinediones, Metformin, lifestyle modification for weight reduction or bariatric surgery have been proven to produce restoring effects on ovulation and hyperandrogenemia ( Healthy Nutrition for a Healthy Ovulation Nutrition plays a major role in enhancing the reproductive efficiency both in women and men, and contrarily to the detrimental role of body weight, the effect of the diet in female fertility is not well-defined

Eating smaller, protein-rich meals and staying hydrated reduces nausea significantly

Fuente: Medscape **Fuente: Reunin anual de la Asociacin Europea para el Estudio de la Diabetes (EASD) 2023

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