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Table of recommended metabolic tests for women seeking fertility optimization: Basic metabolic: fasting glucose, fasting insulin, HbA1c Lipids: total cholesterol, LDL, HDL, triglycerides Hormones: AMH, FSH, LH, Estradiol, Progesterone, TSH, Free T4/T3 Micronutrients: vitamin D, B12, folate, ferritin Inflammation/stress: hs-CRP, cortisol Advanced: metabolomics panel, proteomics screen, insulin clamp or oral glucose tolerance test where indicated These tests provide results to establish targets and track progress over time

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The elevated levels of 2-hydroxybutyric acid observed in FM subjects compared to HC may reflect the previously documented heightened oxidative stress in FM 72

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(PubMed) Ziegler D, Schatz H, Conrad F, Gries FA, Ulrich H, Reichel G