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For women with PCOS who had irregular cycles before starting treatment, GLP-1 therapy sometimes produces the opposite effect: improved cycle regularity as insulin resistance decreases and androgen levels normalize

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These women may experience worsened fatigue, mood swings, or disrupted cycles if fasting is not approached with care

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doi: 10.1016/S0140-6736(19)31150-X 15 GersteinHCSattarNRosenstockJRamasundarahettigeCPratleyRLopesRDet al

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Gradual dose reduction (tapering) allows these regions to readjust more slowly, reducing the intensity of rebound hunger

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Although this study did measure the IGF-1 activity, the significantly increased blood IGF-1 concentration suggests that maternal GLP-1R activation increases IGF-1 bioactivity in fetuses

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