Barely Significant

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We note that while the core findings of this study—including the massive increases in pregnanolone, its conjugate, 17-hydroxypregnanolone, and 5β-pregnane-3α,20α-diol—withstand stringent FDR correction (q < 0.001; Table 2 ), a subset of nominally significant changes in minor downstream metabolites (e.g., epietiocholanolone conjugate, 5β-androstane-3α,17β-diol conjugate) should be interpreted as exploratory observations pending independent replication ( Table 2 , footnote).
Liver function tests As shown in Figure 2 (and Supplementary Figure S1D,E ), a decreasing trend in both serum AST and ALT was observed in both the Ganwei alone and metformin alone arms; however, statistical significance was achieved only in the metformin alone arm ( p = 0.039 and p = 0.031, respectively).
The protein processing pathway in the endoplasmic reticulum had the largest gene count, indicating that the most differentially expressed genes were involved, although its enrichment score was relatively low and the p -value was moderately significant.