Skin purging, similar to what occurs with retinoids, happens occasionally
That being the case, it requires larger sample studies to confirm those claims that a combination of spearmint (Mentha spicata), ginger (Zingiber officinale Roscoe), cinnamon, and citrus have also been studied for their anti-inflammatory and hypoglycemic effects in women with PCOS
doi:10.1111/hex.13905
That timeline is what usually determines whether people wait or pursue a direct-pay path
You must meet specific eligibility criteria (BMI of 30 kg/m or above, or 27 kg/m or above with weight-related comorbidities) and have already tried lifestyle changes including diet and exercise
Diene G, Angulo M, Hale PM, Jepsen CH, Hofman PL, Hokken-Koelega A, et al