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Too often framed as a last resort after medication failure, surgery is better understood as a parallel therapeutic strategy within the same treatment continuum

An amylin analogue, pramlintide, was approved in 2005

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This fundamental difference in mechanism means your gastrointestinal system experiences activation through two separate but complementary pathways rather than one
Psychological Well-Being and Treatment Success Perhaps most importantly, the emotional toll of PCOS affects treatment outcomes: Women with PCOS report significantly higher rates of anxiety and depression, which can reduce medication adherence and make lifestyle changes more challenging

Theres a biological rationale for why dosing builds over time
