Some participants reported mild nausea
Combination Treatment Strategies GLP-1 medications and metformin can both lower vitamin B12 levels, and B12 deficiency is already more common in PCOS patients
We also request patients stop all blood thinning over-the-counter medications and supplements 2-3 weeks prior to Sculptra injections, including vitamin E, fish oil, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), and ginkgo biloba
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