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Inositols - Guide to Practical Applications in Obstetrics and Gynecology (Hardcover)
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Inositols - Guide to Practical Applications in Obstetrics and Gynecology (Hardcover)
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This book offers a valuable mine of clinical information for health
professionals and researchers. It gives an overview of the critical
role played by Inositols in the therapeutic approach to common
obstetrics and gynecological disorders. Inositols are a family of
simple carbohydrates naturally found in several foods and human
cells. There are potentially nine stereoisomers of Inositols, among
them being myo-inositol (MI) and, to a lesser extent,
D-chiro-inositol (DCI). These are the most important isoforms for
the physiological processes in humans. They exert different actions
in the control of glucose homeostasis: MI regulates the activation
of glucose transporters and glucose utilization, while DCI
modulates the glycogen synthesis. Once incorporated into
phosphoglycans, they act as second messengers involved in the
signaling transduction cascade of insulin. The metabolism of
Inositols is dysregulated in patients with Polycystic Ovary
Syndrome (PCOS), highlighting the crucial link between insulin
resistance and inositol deficiency in PCOS patients. Therefore,
several pre-clinical and clinical studies have been carried out to
evaluate their therapeutic usefulness in pathologies where there is
an imbalance in MI and DCI levels (from PCOS and gestational
diabetes mellitus to infertility). The clinical evidence has
demonstrated that MI can be considered widely safe and well
tolerated, giving prominence to this versatile molecule. In several
trials, the beneficial effect of MI in improving the metabolic and
endocrine profile of women with PCOS has been highlighted
extensively. Further analyses have shown that the physiological
MI:DCI ratio (40:1) is the optimal approach for improving oocyte
follicular development and oocyte maturation as well as ovary
stimulation and pregnancy outcomes in in vitro fertilization (IVF)
procedures. Furthermore, the reader is introduced to a broader area
encompassing the Inositols scenery from the history to Inositols
nutritional importance, the therapeutic use in preeclampsia,
gynecologic oncology, fetal programming as well as their resistance
and substance interaction. All these interesting topics will be
discussed and deepened in the present book, giving the opportunity
to explore in detail every aspect of this effective molecule,
bringing the instructions from this guide to everyday practice.
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