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Main body: We present a structured, fertility-centered, hypothesis-generating narrative synthesis of the metabolicreproductivepregnancy continuum in PCOS, integrating evidence from randomized trials, observational studies, reviews, and clinical guidance

However, more serious complications, although rare, can occur: Vomiting Diarrhea Pancreatitis Gallbladder disease Kidney disease Low blood sugar Patients are encouraged to report any persistent side effects to their healthcare provider

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doi: 10.1128/MMBR.00001-18 160 Hernndez-OrtegaK.Garcia-EsparciaP.GilL.LucasJ

Mushy / loose stools (Bristol 6): the most common Zepbound presentation