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Shaking can introduce air bubbles and mechanical stress that may compromise the medication's structure and effectiveness

If a higher dose becomes clinically appropriate, the medication cost increases accordingly

Side effects typically involve mild nausea or stomach upset

Hormonal imbalances can contribute to weight gain, mood disorders, anxiety and depression, trouble concentrating, and difficulty sleeping

Higher insulin levels and blood sugar can add to the hormone imbalances seen in PCOS as insulin stimulates the production of androgens, which cause PCOS symptoms like hirsutism, oily skin, hair loss, and acne

If the first injection is on Day 0, the second injection is on Day 7, the third injection is on Day 14, the forth injection is on Day 21, it means the FIFTH injection should you have more in the vial, would be on Day 28