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Reproductive hormones such as estrogen, progesterone, and testosterone play a role in fertility, while hormones involved in diabetes and metabolic health including insulin, leptin, ghrelin, and natural GLP-1 are also indirectly involved

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Sho-Ichi Yamagishi, Tomoyasu Fukui, Yo Kohata, Hiroe Sugita, Takemasa Omachi, Shunichiro Irie, Michishige Terasaki and Tomoki Fujikawa declare that they have no conflicts of interest