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Traditionally, the treatment of metabolic hypogonadism in patients with obesity has relied on testosterone replacement therapy, primarily due to the challenges of achieving substantial weight loss through lifestyle changes alone in real-world settings

A large systematic review that examined 8 studies (910 women) found that NAC treatment (either alone or in combination with metformin a diabetic drug commonly used in PCOS) notably boosted pregnancy success rates ( 13 )

Individuals with neurological concerns should consult qualified neurologists or other appropriate healthcare providers

SAG S-acetyl-glutathione the SAG may be administered one to four doses per day

Patients are advised to monitor for symptoms of thyroid tumors, including swelling of the neck, difficulty swallowing, or persistent hoarseness

Other states with Medicaid programs that cover obesity drugs have already started scaling back access over concerns about the expense