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It works "upstream" by signaling the pituitary gland to do its job

Adipocyte 2 , 217226 (2013)

137 Meta-analyses of controlled clinical trials have found CBT can produce lasting benefits in depression patients, whether delivered in individual therapy, group therapy, or therapist-guided self-help formats

In granulosa and adipose cells, VDR activation reduces oxidative-inflammatory cascades, indirectly improving insulin signaling and follicular microenvironment stability (213)