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Many women with PCOS carry excess weight and visceral and hepatic fat, which amplifies insulin resistance

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They are sold legally under the research use only labels, which means they are permitted for laboratory study but cannot be legally marketed for human consumption, diagnosis, or treatment

In an autoimmune context, these responses can cascade into thyroid flares, increased antibody activity, and deepened fatigue that takes weeks to recover from

Most patients start at a low dose, work their way up, and then find the appropriate dosage throughout the rest of their journey