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In the vast majority of trials, symptoms are evaluated by participant self-report that, while simple, has major limitations (26)
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Guidelines from the American College of Obstetricians and Gynecologists and the Endocrine Society recommend that all PCOS patients be tested for impaired glucose tolerance and dyslipidemia by means of a two-hour oral glucose tolerance test and fasting lipid profile at diagnosis, and at regular intervals thereafter
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So she encourages her clients to focus on the protein source first
