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Kay AB, Ali FR, Heaney LG, Benyahia F, Soh CP, Renz H, Lee TH, Larche M

Individual factors influencing susceptibility include baseline gut bacteria composition, which varies tremendously between individuals, natural digestive enzyme levels, dietary patterns and typical protein intake, stomach acid production levels, and genetic factors affecting sulfur metabolism

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[14] The disrupted hormonal environment, including high levels of androgens, suppresses the growth and development of ovarian follicles ("cysts")