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nonsmoker Clinical impression: Class II obesity PCOS by Rotterdam criteria (ovulatory dysfunction + clinical hyperandrogenism), excluding secondary causes Insulin resistance with hyperinsulinemia and prediabetes Dyslipidemia , possible MASLD Binge eating disorder with restriction-anxiety-binge cycles Anovulatory infertility risk Goals: Reduce cardiometabolic risk and normalize ovulation/fertility potential Stabilize insulin and lipids
Semaglutide should reduce appetite, not eliminate eating
Jeyaraman, M., Muthu, S
Adequate vitamin C also improves wound healing by regulating elastin and increasing turnover at the site of injury
Effects of gamma-tocopherol supplementation on thrombotic risk factors
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