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Clinicians should also monitor nutritional risks associated with rapid weight loss, such as deficiencies in iron, folic acid, and B vitamins, to ensure the patient is pregnancy-ready rather than just weight-ready. Given that GLP-1RAs improving IVF outcomes remains limited, their appropriate positioning remains a metabolic optimization tool before ART rather than a standardized pretreatment regimen (48)

These observations lend support to the hypothesis that GLP-1/GLP-1R axis might directly act on ovarian MGCs to promote the follicular development in a dose-dependent manner, likely contributing to the oocyte maturation in PCOS

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In some cases, B12 injections can also cause allergic reactions