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adiponektin and leptin), which might better modulate the reproductive axis

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Other metabolic and urological causes to consider include: Chronic kidney disease : Metabolic syndrome and diabetes can damage kidney function, affecting the kidneys' ability to concentrate urine Hypercalcaemia : Elevated calcium levels can impair kidney concentrating ability Urinary tract infections : Particularly in women, causing frequency with dysuria (painful urination) Overactive bladder syndrome : A common condition causing urgency and frequency Benign prostatic hyperplasia : In men over 50, causing obstructive urinary symptoms Pregnancy : A common cause of urinary frequency in women of childbearing age Diabetes insipidus : A rare condition affecting water regulation Excessive fluid intake : Including caffeinated beverages and alcohol Obstructive sleep apnoea , which is more prevalent in people with obesity and NAFLD, can cause nocturnal polyuria (night-time urination) due to hormonal changes affecting fluid regulation during disrupted sleep