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The 2023 international guideline supports metformin for adults with PCOS and BMI 25 kg/m for metabolic outcomes, but inositol is a reasonable alternative or adjunct for women who don't tolerate metformin or prefer a non-pharmaceutical option

Patients who struggle to gain weight or muscle mass

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This is especially important for those who may have difficulty absorbing nutrients due to digestive issues, certain medical conditions, or simply because of age-related changes

Preservative Efficacy Testing (PET), governed by USP , confirms that the preservative system actually works throughout the products use period