Potential heterogeneity of effects was evaluated using a Wald test
9 Research gaps and future priorities 9.1 Reproductive-oriented RCTs: shifting from metabolic surrogates to hard endpoints To date, most GLP-1RA trials in PCOS have been designed around metabolic efficacy (weight change and insulin-resistance/glycaemic indices) as the primary outcomes, with reproductive outcomesovulation, clinical pregnancy, and live birthreported inconsistently and often as secondary or exploratory measures
Important Note on the Specific Combination While each individual component of KLOW has published preclinical research behind it, the specific quad-blend combination has not been systematically evaluated in published clinical studies
Demaegdt, et al
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Timeline: Liver enzyme improvements (AST/ALT normalization) documented at 4-8 weeks in clinical studies