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Diabetes, Obesity & Metabolism, 19 (3), 356363

Randomized controlled trials and systematic reviews in healthy adults showed modest gains in lean body mass without improvements in strength or exercise outcomes, while adverse effects such as edema, fatigue, arthralgias, and impaired glucose tolerance were frequent [57, 58]

Beyond Weight Loss: The Full Spectrum of Benefits While weight loss gets the headlines, women with PCOS often experience even more meaningful improvements: More regular menstrual cycles : As insulin levels normalize, ovulation often becomes more predictable

Healthcare providers must track several key factors: Blood sugar levels and medication adjustments Hydration and electrolyte balance Nutritional adequacy Potential side effects Regular monitoring becomes critical especially when you combine approaches

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