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Women on both therapies saw additional improvements in diastolic blood pressure, triglycerides, and liver enzymes

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Step 5: Communicate and document Document the medication, dose, last dose, symptoms, risk assessment, shared decision-making, and final perioperative plan

Helvaci N, Yildiz BO (2023) Current and emerging drug treatment strategies for polycystic ovary syndrome

Jardiance (empagliflozin) is especially beneficial for patients with glp-1 therapy or those who struggle with weight management alongside metabolic challenges

Patient-specific factors that influence choice include: Concurrent diabetes : Patients with type 2 diabetes may have broader access through NHS prescribing pathways BMI and weight loss goals : Higher BMI patients may benefit from agents with greater weight loss efficacy Tolerability : Previous experience with gastrointestinal side effects may guide selection Injection preference : Some patients strongly prefer weekly over daily injections, or oral over injectable formulations Cardiovascular disease : Certain GLP-1 agonists have proven cardiovascular benefits, which may be relevant for high-risk patients Ultimately, the choice should be individualised through shared decision-making between patient and clinician, considering the available evidence, licensed indications, local prescribing policies, and patient preferences