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Even if clinical responders eventually titrate to higher, and more expensive, oral doses, the entry-level affordability lowers the initiation threshold dramatically, especially for patients without robust insurance coverage

Compounded formulations from 503A pharmacies often cost a fraction of the branded product price

Daily weigh-ins and milestone tracking keep you motivated and on track

Log your daily fiber and water intake in the nutrition tracker to see whether your symptoms correlate with days when fiber or hydration fell short

Narr KL, Bilder RM, Toga AW, Woods RP, Rex DE, Szeszko PR et al (2005)

Women with PCOS seeking fertility should be managed according to established guidelines, which typically include lifestyle modification, ovulation induction with medications such as letrozole (first-line in the US) or clomiphene citrate, and metformin in selected cases