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These patients may display subtle metabolic abnormalities insulin resistance, dyslipidemia, or visceral adiposity despite appearing lean. Clinical markers such as waist circumference, hepatic imaging findings, and elevated liver enzymes (ALT/AST) should prompt further evaluation even when BMI is below 25 kg/m

The dose escalation schedules used when initiating these medications are carefully designed to allow your body to adapt gradually, minimising side effects whilst achieving therapeutic levels

Wietecha, D.O

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What does this mean practically

It's important to remember that while some may report missed cycles, others may not experience any changes at all