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Common signs include: Irregular or missed menstrual cycles, sometimes with heavy bleeding [4] Excess facial and body hair growth (hirsutism) affects up to 70% of patients [5] Weight management challenges, particularly around the midsection Acne or oily skin that may persist beyond teenage years Hair thinning or male-pattern baldness Dark skin patches (acanthosis nigricans) Small skin tags, typically on the neck or armpits Between 40% and 80% of people with PCOS struggle with obesity

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Its possible to have an allergic reaction to B12 injections, resulting in hives or swelling