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Stephenson, S., Langley, J

4 Hyperandrogenism, ovulatory function, and fertility outcomes: a reproductive perspective 4.1 Remodeling of the androgen profile and endocrine homeostasis Hyperandrogenism is a hallmark phenotype of PCOS, serving as the link between metabolic derangement and ovulatory dysfunction via the insulinovaryhepatic SHBG axis

Here's the breakdown: Alcohol (ethanol) gets converted by your liver into acetaldehyde, a compound that's significantly more toxic than alcohol itself