Ruby (2008) refers to Polycystic Ovarian Syndrome (PCOS) as being an endocrine-metabolic disorder. What is meant by this, and what clinical evidence supports this characterization?

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Ruby (2008) refers to Polycystic Ovarian Syndrome (PCOS) as being an endocrine-metabolic disorder. What is meant by this, and what clinical evidence supports this characterization?
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