All the patients fulfilled the criteria established by the American Society for Reproductive Medicine and the European Society for Human Reproduction and Embryology for diagnosing the presence of PCOS (20), and at least two of the following criteria had to be present: (a) oligomenorrhea with inter-menstrual intervals longer than 45 days, (b) clinical (acne, hirsutism) or biochemical signs of hyperandrogenism, (c) the presence of micro-polycystic ovaries at ultrasound
Basso DM, Beattie MS, Bresnahan JC
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These insights guide future decisions, such as whether to remain on the current medication, adjust doses, add an adjunct therapy, or transition to a different treatment
If your appetite suppression has noticeably weakened, if food noise has returned to pre-medication levels, if you can eat larger meals without discomfort, and if the characteristic feeling of the medication has faded, these point toward receptor level changes rather than simple metabolic adaptation
Gen Subj
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