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If youre unable to meet your fiber goals through food alone, consider psyllium husk

Symptoms may include rash, urticaria, or bronchospasm

Alternatively, continue daily injection at a reduced dose of 0.5 to 1mg

Notably, the adverse effects caused by metformin therapy for adolescent patients with PCOS, especially gastrointestinal side effects, need to be a concern, as they may affect their quality of life and treatment adherence

Sourcing in particular is a concern