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Prescription medications work alongside diet and exercise by targeting your body's hunger signals and energy storage mechanisms
If fatigue is severe, the GLP-1 fatigue guide and semaglutide fatigue article both provide management strategies
Taking a brisk walk as part of your morning routine, going for long weekend swims or bike rides, using lunch breaks for bodyweight exercises, finding a sport or class you genuinely enjoy, standing and walking more during work hours, or following a yoga video before bed all contribute to total daily energy expenditure
If NAC is taking the slot in your routine that should be held by a better-evidenced intervention a 40:1 myo-inositol to D-chiro-inositol supplement, for example, which has multiple PCOS-specific RCTs behind it you are paying an opportunity cost that the marketing did not warn you about
It can be obtained as a supplement at health food stores and pharmacies