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Guidelines: the 2023 International PCOS Guideline positions GLP-1RAs as practical weight-loss tools for obese women with PCOS but emphasizes that they must be used within a framework of continuous, effective contraception throughout the treatment period, and should not be considered a routine intervention for weight or metabolic management during pregnancy (17)

Stimulants work by forcing the muscles in your intestines to contract aggressively

As I said, becoming symptomatic quickly may indicate that more frequent/lower dose B12 is a better treatment strategy, not that liver or other stores cannot be utilized