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Michelle Pierce, 25, is a patient from Austin who also has relied on a compounded semaglutide to treat her PCOS

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We also confirm that the order of the authors listed in the manuscript has been approved by all of us

As patients approach the BMI cut-off, we focus on: Planned dose reduction Managing appetite changes Supporting long-term weight stability Reinforcing sustainable habits without medication The goal is to protect health gains, not to prolong treatment unnecessarily

Semaglutide was originally approved in 2017 as Ozempic , a once-weekly injection for adults living with Type 2 diabetes

Work with your provider to find a titration schedule that balances effectiveness with tolerability