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In addition, a colonoscopy may be required to determine the cause of bleeding and to treat the bleeding

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In clinical trials, the SGLT2 inhibitor canagliflozin was not inferior to metformin in reducing HOMA-IR, and canagliflozin also significantly improved menstruation and body weight and reduced triglyceride levels, suggesting that it should be considered an effective treatment for patients with PCOS and IR [173]

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doi: 10.1007/s00204-014-1253-3

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