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Furthermore, in patients with PCOS, metformin therapy must be continued indefinitely because stopping the medication after a period of three months has the potential to reverse all the disease progress (49)

The MHRA Summary of Product Characteristics (SmPC) for Wegovy lists fatigue as a common side effect

With insurance and non-formulary: Lilly will chip in $573/mo and max it out at $3700/yr (and that Rx better have an FDA approved indication)

The British Obesity and Metabolic Surgery Society (BOMSS) and the UK Specialist Pharmacy Service (SPS) both provide practical guidance on medicines management following bariatric procedures, and clinicians are encouraged to consult these resources