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Consulting with healthcare providerssuch as pediatricians, dietitians, or specialistsis critical to creating effective and safe nutrition strategies

There was no effect on androgen levels in the overall population of women with PCOS ( n = 262), but metformin significantly reduced androstenedione in nonobese women with PCOS and lowered both androstenedione and testosterone in those carrying a male foetus

However, gastrointestinal side effects such as constipation may indirectly contribute to conditions like haemorrhoids or anal fissures that cause rectal bleeding

Other possible effects include abdominal pain, bloating, and fatigue