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Wheeler DC, Toto RD, Stefnsson BV, Jongs N, Chertow GM, Greene T, et al

Metformin enhances insulin sensitivity by suppressing hepatic gluconeogenesis and improving peripheral glucose uptake, reducing hyperinsulinemia and downstream ovarian androgen production ( The extent of weight loss observed with GLP-1 receptor agonists, especially in combination with metformin, is clinically relevant in the context of PCOS, a condition in which insulin resistance, central obesity, and metabolic dysfunction contribute to eventual infertility and long-term cardiometabolic risk ( Given the heterogeneity of PCOS phenotypes, a personalized, combination-based therapeutic approach may optimize outcomes beyond a uniform treatment model

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