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Verify the precise timing of the last dose in preop screening and document it explicitly

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A meta-analysis of randomized controlled trials found that GLP-1 agonists in women with PCOS reduced body mass index, serum triglycerides, total testosterone, and waist circumference

23 These symptoms can be severe in some patients, resulting in a pause of dose escalation, and if intolerable GI symptoms continue, a dose adjustment to the previous lower dose or a switch to an alternative GLP-1 RA should be considered