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Emerging evidence suggests that ACs play a pivotal role in immune-metabolic pathways, linking lipid metabolism to mitochondrial function, with inadequate energy production contributing to metabolic stress, inflammation, and insulin resistance, all of which tied to depression pathophysiology [15]

Adenomyosis is most common in women in their 40s and 50s 10 , though approximately 20% of adenomyosis cases occur in women under the age of 40, though more recent imaging-based studies suggest adenomyosis may be more common in younger women than previously recognised

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