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3 Wang, J., et al., Hyperandrogenemia and insulin resistance: The chief culprit of polycystic ovary syndrome

In addition to constipation, there are a handful of other side effects that a woman can experience when on a GLP-1, such as nausea, fatigue, and decreased appetite
And that could occur for a variety of reasons

Assessment of saxagliptin efficacy: meta-analysis of 14 phase 2 and 3 clinical trials
