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Standard pre-treatment screening includes thyroid ultrasound and labs, kidney function tests, blood sugar assessment, and review of personal and family cancer history

Without a log, these patterns stay invisible

Most of the comments revealed two major concerns

If you've been on a stable dose for 6+ weeks and you're seeing none of the following no waist measurement change, no scale trend downward, no visual difference, no clothing fit change then something in the protocol needs attention

The Ripple Effect of Weight Loss PCOS and obesity or being overweight have a bidirectional relationship: PCOS increases the risk of being overweight or obese, while the latter can make other PCOS symptoms worse