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A number of other studies 7 have shown that NAC can help to decrease: BMI, which means NAC weight loss may be at play Hirsutism (meaning there was less hair on the face, chest, and abdomena common complaint of women with PCOS) Fasting insulin (there was better blood sugar balance) Free testosterone (unusually high levels of testosterone can lead to acne, oily skin, and hair loss) Menstrual irregularities Total and LDL cholesterol (Metformin only led to a decrease in total cholesterol) In my clinical practice, I've had patients experience these types of benefits while taking 900 mg twice daily

Semaglutide with B12 For completeness: compounded semaglutide is also available with B12

Ask your doctor about using non-hormonal birth control (condom, diaphragm with spermicide) to prevent pregnancy

B12 injections deliver a direct dose of vitamin B12 into your muscle