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In addition, semaglutide use is not advised during pregnancy or breastfeeding, and women attempting to conceive should discontinue semaglutide medications at least two months prior to conception, as it can impact fertility.7 While there are typically no dose adjustments required for patients with renal or hepatic impairment, careful monitoring is advised for individuals who have had bariatric surgery

Most of the plausible benefit is likely weight- and hepatic-fat-mediated, which would help the many women with PCOS whose insulin resistance is weight-driven

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Lucia Mireles-Chavez, MD Metabolic weight loss cost in Fresno, CA typically ranges from about $100$500 per month for basic, medication-focused care to around $3,000 for a 12-week comprehensive clinic program that bundles visits, labs, and injections

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