For women, especially those with underlying hormonal conditions like polycystic ovary syndrome (PCOS), even small shifts in insulin levels, body weight, or inflammation can have a ripple effect on oestrogen balance, ovulation patterns, and menstrual symptoms
If you experience chronic vomiting or severe diarrhea
Patients frequently understate side effects because they are worried a dose increase will be withheld and then increase into symptoms that were never settled, which usually makes the next month considerably worse
David Mansour (Board-Certified Doctor of Osteopathic Medicine), and Dr
At Pura Vida Wellness, treatment decisions are based on medical history, labs when appropriate, and regular follow-up, so care remains individualized and responsive over time