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Three biggest levers: (1) Start at the Beginner-tier dose for 2-3 weeks before escalating gives time to detect adverse signals at minimum effective dose

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What is Shockwave Therapy

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All felt better and looked better

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In most studies, the combination therapy was related to a significant reduction of the risk of MACE, heart failure, or death from any cause

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This is not about being restrictive for the sake of it

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"L-carnitine + metformin in PCOS." Gynecol Endocrinol 2019;35:701-5

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