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[115] Gerstein HC, Colhoun HM, Dagenais GR, et al
What healthy patients fill it with: Hobbies they dropped years ago because PCOS exhaustion took everything Relationships they can now be present in without food-anxiety distraction Career goals that were back-burnered by low energy and low confidence Exercise they now enjoy (not punishment movement for its own sake) Therapy or coaching to process the identity shift and build new coping tools The void isn't a problem
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Follow proper dose escalation The most critical factor for tolerability is adhering to gradual dose escalation protocols
The documented etiological factors are both local and systemic and include hormones, drugs, smoking, and idiopathic causes
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