{"id":6525,"date":"2023-09-25T10:40:50","date_gmt":"2023-09-25T05:10:50","guid":{"rendered":"https:\/\/www.diabetesasia.org\/magazine\/?p=6525"},"modified":"2024-11-21T12:03:31","modified_gmt":"2024-11-21T06:33:31","slug":"effects-of-ketogenic-diet-on-reproductive-hormones-in-women-with-polycystic-ovary-syndrome","status":"publish","type":"post","link":"https:\/\/www.diabetesasia.org\/magazine\/effects-of-ketogenic-diet-on-reproductive-hormones-in-women-with-polycystic-ovary-syndrome\/","title":{"rendered":"Effects of Ketogenic Diet on Reproductive Hormones in Women With Polycystic Ovary Syndrome"},"content":{"rendered":"<h2>Effects of Ketogenic Diet on Reproductive Hormones in Women With Polycystic Ovary Syndrome<\/h2>\n<div class=\"card_footer row\">\n<div class=\"option_item links__main row align_center\">\n<p>Signs and symptoms of<strong><span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/academic.oup.com\/jes\/article\/7\/10\/bvad112\/7259972?login=false\"> PCOS<\/a><\/span><\/strong> and the role of the ketogenic diet will be discussed, which include irregular or no menstrual periods, <a class=\"mw-redirect\" title=\"Menorrhagia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Menorrhagia\">heavy periods<\/a>,\u00a0excess body an<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"wp-image-6527 aligncenter\" src=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Polycystic_ovary-USG.jpg?resize=453%2C326&#038;ssl=1\" alt=\"\" width=\"453\" height=\"326\" srcset=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Polycystic_ovary-USG.jpg?resize=300%2C216&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Polycystic_ovary-USG.jpg?w=458&amp;ssl=1 458w\" sizes=\"auto, (max-width: 453px) 100vw, 453px\" \/>d facial hair,\u00a0acne, pelvic pain,\u00a0difficulty getting pregnant, and\u00a0patches of thick, darker, velvety skin, <sup id=\"cite_ref-NICHD_What_are_the_symptoms_of_PCOS?_3-2\" class=\"reference\"><\/sup>ovarian cysts, enlarged ovaries, excess androgen, and weight gain.<\/p>\n<p>Associated conditions include\u00a0<a class=\"mw-redirect\" title=\"Type 2 diabetes mellitus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Type_2_diabetes_mellitus\">type 2 diabetes<\/a>,\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">obesity<\/a>,\u00a0obstructive sleep apnea,\u00a0heart disease,\u00a0<a title=\"Mood disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mood_disorder\">mood disorders<\/a>, and\u00a0<a title=\"Endometrial cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Endometrial_cancer\">endometrial cancer<\/a>.<sup id=\"cite_ref-NIH2017Def_4-2\" class=\"reference\"><\/sup><\/p>\n<div class=\"hatnote navigation-not-searchable\" role=\"note\">Further information:\u00a0Infertility in polycystic ovary syndrome<\/div>\n<p>Common signs and symptoms of PCOS include the following:<\/p>\n<ul>\n<li>Menstrual disorders: PCOS mostly produces\u00a0oligomenorrhea\u00a0(fewer than nine menstrual periods in a year) or\u00a0amenorrhea\u00a0(no menstrual periods for three or more consecutive months), but other types of menstrual disorders may also occur.<sup id=\"cite_ref-BMC2010_22-2\" class=\"reference\"><\/sup><\/li>\n<li><a title=\"Infertility\" href=\"https:\/\/en.wikipedia.org\/wiki\/Infertility\">Infertility<\/a>\u00a0generally results directly from chronic\u00a0<a title=\"Anovulation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Anovulation\">anovulation<\/a>\u00a0(lack of ovulation).<sup id=\"cite_ref-BMC2010_22-3\" class=\"reference\"><\/sup><\/li>\n<li>High levels of masculinizing hormones: Known as hyperandrogenism, the most common signs are\u00a0<a title=\"Acne\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acne\">acne<\/a>\u00a0and\u00a0<a title=\"Hirsutism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hirsutism\">hirsutism<\/a>\u00a0(male pattern of hair growth, such as on the chin or chest), but it may produce\u00a0hypermenorrhea\u00a0(heavy and prolonged menstrual periods),\u00a0androgenic alopecia\u00a0(increased hair thinning or diffuse hair loss), or other symptoms.<sup id=\"cite_ref-BMC2010_22-4\" class=\"reference\"><\/sup><sup id=\"cite_ref-AMN_29-0\" class=\"reference\"><\/sup>\u00a0Approximately three-quarters of women with PCOS (by the diagnostic criteria of NIH\/NICHD 1990) have evidence of\u00a0hyperandrogenemia.<sup id=\"cite_ref-huang_30-0\" class=\"reference\"><\/sup><\/li>\n<li>Metabolic syndrome: This appears as a tendency towards\u00a0central obesity\u00a0and other symptoms associated with\u00a0insulin resistance, including low energy levels and food cravings. <sup id=\"cite_ref-BMC2010_22-5\" class=\"reference\"><\/sup>Serum\u00a0<a title=\"Insulin\" href=\"https:\/\/en.wikipedia.org\/wiki\/Insulin\">insulin<\/a>, insulin resistance, and\u00a0homocysteine\u00a0levels are higher in women with PCOS.<sup id=\"cite_ref-FertSter_insulin_31-0\" class=\"reference\"><\/sup><\/li>\n<li><a title=\"Acne\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acne\">Acne<\/a>: A rise in testosterone levels increases oil production within the sebaceous glands and clogs pores.<sup id=\"cite_ref-:0_32-0\" class=\"reference\"><\/sup> This greatly impacts many people, and their quality of life can be significantly reduced.<sup id=\"cite_ref-:1_33-0\" class=\"reference\"><\/sup><\/li>\n<li>Androgenic Alopecia: Estimates suggest that androgenic alopecia affects 22% of PCOS sufferers. <sup id=\"cite_ref-:0_32-1\" class=\"reference\"><\/sup>This is a result of high testosterone levels that are converted into the dihydrotestosterone (DHT) hormone. Hair follicles become clogged, making hair fall out and preventing further growth.<img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6526 aligncenter\" src=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/PCOS.jpg?resize=300%2C169&#038;ssl=1\" alt=\"PCOS\" width=\"300\" height=\"169\" \/><\/li>\n<li><a title=\"Acanthosis nigricans\" href=\"https:\/\/en.wikipedia.org\/wiki\/Acanthosis_nigricans\">Acanthosis Nigricans<\/a> (AN): A skin condition where dark, thick, a&#8221; &#8221; &#8220;elf&#8221; &#8220;y&#8221; pa&#8221;c&#8221; ca.&#8221;\u00a0<sup id=\"cite_ref-:2_35-0\" class=\"reference\"><\/sup><\/li>\n<li>Polycystic ovaries: PCOS is a complicated disorder characterized by high androgen levels, irregular menstruation, and small cysts on one or both ovaries. <a title=\"Ovary\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ovary\">Ovaries<\/a> might get enlarged and comprise follicles surrounding the eggs. As a result, ovaries might fail to function regularly. This disease is related to the number of follicles per ovary each month growing from the average range of 6-8 to double, triple, or more. Women with PCOS have a higher risk of multiple diseases, including Infertility, type 2 diabetes mellitus (DM-2), cardiovascular risk, metabolic syndrome, obesity, impaired glucose tolerance, depression, obstructive sleep apnea (OSA), endometrial cancer, nonalcoholic fatty liver disease\/nonalcoholic steatohepatitis (NAFLD\/NASH).<sup id=\"cite_ref-36\" class=\"reference\"><\/sup><\/li>\n<\/ul>\n<p>Women with PCOS tend to have central obesity. Still, studies are conflicting as to whether visceral and subcutaneous abdominal fat is increased, unchanged, or decreased in women with PCOS relative to non-PCOS women with the same <a title=\"Body mass index\" href=\"https:\/\/en.wikipedia.org\/wiki\/Body_mass_index\">body mass index<\/a>. <sup id=\"cite_ref-pmid25781555_37-0\" class=\"reference\"><\/sup>In any case, androgens, such as\u00a0<a title=\"Testosterone (medication)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Testosterone_(medication)\">testosterone<\/a>, androstanolone (dihydrotestosterone), and nandrolone decanoate, have increased visceral fat deposition in both female animals and women.<sup id=\"cite_ref-pmid18615851_38-0\" class=\"reference\"><\/sup><\/p>\n<p>Although 80% of PCOS presents in women with obesity, 20% of women diagnosed with the disease are non-obese &#8220;&#8221;&#8221;&#8221; n&#8221;\u00a0 women.<sup id=\"cite_ref-39\" class=\"reference\"><\/sup> However,&#8221; ese women who have PCOS have a higher risk of adverse outcomes, such as <span style=\"color: #0000ff;\"><strong><a style=\"color: #0000ff;\" href=\"https:\/\/www.diabetesasia.org\/magazine\/how-diabetes-cause-hypertension\/\">hypertension,<\/a><\/strong><\/span>\u00a0insulin resistance,\u00a0<a title=\"Metabolic syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolic_syndrome\">metabolic syndrome<\/a>, and\u00a0<a title=\"Endometrial hyperplasia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Endometrial_hyperplasia\">end<\/a>ometrial hyperplasia,\u00a0 Infertility.<sup id=\"cite_ref-40\" class=\"reference\"><\/sup><\/p>\n<p>Even though most women with PCOS are overweight or obese, it is important to acknowledge that non-overweight women can also be diagnosed with PCOS. Up to 30% of women diagnosed with PCOS maintain a normal weight before and after diagnosis. &#8220;Men still face&#8221;t&#8221;e various symptoms of PCOS with the added challenges of properly addressing and recognizing their symptoms. Lean women often go undiagnosed for years and are usually diagnosed after struggling to conceive. <sup id=\"cite_ref-41\" class=\"reference\"><\/sup>Lean women are likely to have a missed diagnosis of diabetes and cardiovascular disease. These women also have an increased risk of developing insulin resistance despite not being overweight. Lean women are often taken less seriously with their diagnosis of PCOS and also face challenges finding appropriate treatment options. This is because most treatment options are limited to approaches to losing weight and healthy dieting.<sup id=\"cite_ref-42\" class=\"reference\"><\/sup><\/p>\n<h3><span id=\"Hormone_levels\" class=\"mw-headline\">Hormone levels<\/span><\/h3>\n<p><a title=\"Testosterone\" href=\"https:\/\/en.wikipedia.org\/wiki\/Testosterone\">Testosterone<\/a> levels are usually elevated in women with PCOS.\u00a0<sup id=\"cite_ref-MazzeStrockSimonson2007_43-0\" class=\"reference\"><\/sup><sup id=\"cite_ref-pmid32462512_44-0\" class=\"reference\"><\/sup>In a 2020\u00a0systematic review\u00a0and\u00a0<a title=\"Meta-analysis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Meta-analysis\">meta-analysis<\/a> of sexual dysfunction related to PCOS, which included 5,366 women with PCOS from 21 studies, testosterone levels were analyzed. They were 2.34 nmol\/L (67 ng\/dL) in women with PCOS and 1.57 nmol\/L (45 ng\/dL) in women without PCOS.<sup id=\"cite_ref-pmid32462512_44-1\" class=\"reference\"><\/sup>\u00a0In a 1995 study of 1,741\u00a0women with PCOS, mean testosterone levels were 2.6\u00a0(1.1\u20134.8) nmol\/L (75\u00a0(32\u2013140)\u00a0ng\/dL).<sup id=\"cite_ref-pmid8567849_45-0\" class=\"reference\"><\/sup> In a 1998 study that reviewed many studies and subjected them to meta-analysis, testosterone levels in women with PCOS were 62 to 71 ng\/dL (2.2\u20132.5 nmol\/L), and testosterone levels in women without PCOS were about 32 ng\/dL (1.1 nmol\/L).<sup id=\"cite_ref-pmid15251757_46-0\" class=\"reference\"><\/sup> In a 2010 study of 596 women with PCOS, which used liquid chromatography-mass spectrometry (LC-MS) to quantify testosterone, median levels of testosterone were 41 and 47 ng\/dL (with 25th\u201375th percentiles of 34\u201365 ng\/dL and 27\u201358 ng\/dL and ranges of 12\u2013184 ng\/dL and 1\u2013205 ng\/dL) via two different labs.<sup id=\"cite_ref-pmid20826578_47-0\" class=\"reference\"><\/sup> If testosterone levels are above 100 to 200 ng\/dL, per various sources, other possible causes of\u00a0<a title=\"Hyperandrogenism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hyperandrogenism\">hyperandrogenism<\/a>, such as\u00a0congenital adrenal hyperplasia\u00a0or an\u00a0<a title=\"Androgen\" href=\"https:\/\/en.wikipedia.org\/wiki\/Androgen\">androgen<\/a>-secreting\u00a0<a class=\"mw-redirect\" title=\"Tumor\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tumor\">tumor<\/a>, may be present and should be excluded.<sup id=\"cite_ref-pmid8567849_45-1\" class=\"reference\"><\/sup><sup id=\"cite_ref-CarminaStanczykLobo2019_48-0\" class=\"reference\"><\/sup><sup id=\"cite_ref-MazzeStrockSimonson2007_43-1\" class=\"reference\"><\/sup><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7632 aligncenter\" src=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?resize=300%2C212&#038;ssl=1\" alt=\"Hormone\" width=\"300\" height=\"212\" srcset=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?resize=300%2C212&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?resize=1024%2C724&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?resize=768%2C543&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?resize=1536%2C1086&amp;ssl=1 1536w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?w=1800&amp;ssl=1 1800w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/Hormones-provide-an-internal-communication-system-for-the-body-5d24379.jpg?w=1280&amp;ssl=1 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Ketogenic diets followed for 45 days to 24 weeks showed improvements in the luteinizing hormone (LH)\/follicle-stimulating hormone (FSH) ratio, serum free testosterone, and serum sex hormone binding globulin (SHBG). Previous evidence supporting ketogenic diets in PCOS has been &#8221; relatively pat. &#8220;e&#8221; Although there&#8221;reviews, this is the first meta-analysis written by Iza Khalid, MD, of the National Institutes of Health, Ministry of Health Malaysia, and colleagues. Study co-author Syed A.A. Rizvi, MD, PhD, told Medscape Medical News,&#8221; Your paper sup&#8221;o&#8221;t s the positive effects of short-term ketogenic diets on hormonal imbalances commonly associated with PCOS, a complex disease state associated with many presenting symptoms among individuals.<\/p>\n<p>Based on the presentation and individual patient circumstances, besides pharmacologic treatment, lifestyle changes and a ketogenic diet can lead to even improvements in men&#8217;s&#8221; .&#8221; However, a&#8221; professor at the College of Biomedical Sciences, Larkin University, Miami, Floricautionedione&#8221; would highly r&#8221;co&#8221; mend a keto diet to women suffering from PCOS. Still, we all know every person has a different situation. Some may not want to change their diet, some may not be able to afford it, and for some, it is just too much work\u2026This is why any lifestyle change has to be discussed and planned carefully between patients and their healthcare providers&#8221;.&#8221;The findings &#8220;e&#8221; were published online on September 7 in the Journal of the Endocrine Society. Analysis Examined Data From Seven Studies The literature search yielded seven qualifying studies of ketogenic diets, generally defined as a daily carbohydrate intake below 50 g while allowing variable amounts of fat and protein. 170 participants from Italy, China, and the United States were enrolled in the studies. Pooled data showed a significant association between ketogenic diet and reduced LH\/FSH ratio (P &lt; .001) and free testosterone (P &lt; .001). There was also a substantial increase in circulating SHBG (P = .002). On the other hand, serum progesterone levels did not change significantly (P = .353).<\/p>\n<p>Weight loss, a secondary outcome, was significantly greater with the ketogenic diet (P &lt; .001&#8243; Insincere-carb&#8221;h&#8221; drate diets have shown to be effective in addressing obesity and type 2 diabetes, so it makes sense that they would also be helpful to the ents with PCOS, and in fact, it has been the ca&#8221;,\u00a0 Rizvi noted.&#8221;T&#8221;e exact mechanisms for the hormonal effectn&#8217;tn&#8217;t clear, but one theory is that the reduction in hyperinsulinemia from the ketogenic diet decreases stimulation of ovarian androgen production and increases SHBG levels. Another is that the physiologic ketosis induced by low carbohydrate intake reduces both circulating insulin and insulin-like growth factor-1, thereby suppressing the stimulus on the production of both ovarian and adrenal androgens.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7633 aligncenter\" src=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/expect_pregnancy_GettyImages1215128284_Header-1024x575-1.webp?resize=300%2C168&#038;ssl=1\" alt=\"\u00a0Pregnancy\u00a0\" width=\"300\" height=\"168\" srcset=\"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/expect_pregnancy_GettyImages1215128284_Header-1024x575-1.webp?resize=300%2C168&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/expect_pregnancy_GettyImages1215128284_Header-1024x575-1.webp?resize=768%2C431&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/expect_pregnancy_GettyImages1215128284_Header-1024x575-1.webp?w=1024&amp;ssl=1 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<div>\u00a0<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.diabetesasia.org\/magazine\/preparing-for-pregnancy-a-comprehensive-guide\/\"><b>Pregnancy<\/b><\/a><\/span>\u00a0<b>rates<\/b>\u00a0<b>were<\/b>\u00a0<b>not<\/b>\u00a0<b>included<\/b>\u00a0<b>in<\/b>\u00a0<b>the<\/b>\u00a0<b>analysis.<\/b> However, Risaid Sai <b>&#8220;said<\/b><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><strong>i<\/strong><\/span><b>e<\/b><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><strong>here<\/strong><\/span><strong>ere<\/strong><\/span><b>st&#8221; <\/b>b published a study shedding that PCOS <b>[patients]<\/b>\u00a0on\u00a0<b>a<\/b>\u00a0keto\u00a0<b>diet<\/b>\u00a0have significantly improved pregnancy rates, including [in vi<span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><strong>fertilization<\/strong><\/span>atio&#8221; his study &#8220;&#8221;&#8221;&#8221; &#8220;ed no <b>external<\/b> funding.<\/div>\n<div><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Effects of Ketogenic Diet on Reproductive Hormones in Women With Polycystic Ovary Syndrome Signs and&#8230;<\/p>\n","protected":false},"author":2,"featured_media":6526,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[22,30,23],"tags":[3440],"class_list":["post-6525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gestational-diabetes","category-hyperglycemia-in-pregnancy","category-lifestyle-medicine","tag-ketogenic"],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2023\/09\/PCOS.jpg?fit=300%2C169&ssl=1","jetpack_sharing_enabled":true,"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/6525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/comments?post=6525"}],"version-history":[{"count":9,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/6525\/revisions"}],"predecessor-version":[{"id":7634,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/6525\/revisions\/7634"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/media\/6526"}],"wp:attachment":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/media?parent=6525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/categories?post=6525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/tags?post=6525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}