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The most common adverse effectsnausea, vomiting, abdominal pain, and diarrheaare often triggered or worsened by large portions and high-fat meals typical of restaurant dining

1 So the honest version of the question is not how does it work in PCOS? but is there a defensible reason to think it would improve insulin resistance in PCOS, and how far can we reason from the data that actually exist? That reframing is not evasion

Published research shows 19.1% average weight loss at 12 months

Youre putting something in But youre never reaching the level required for anything meaningful to happen

Nutrient deficiencies associated with obesity may be partly due to consumption of a poor-quality diet that is high in calories but has a low nutrient density