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Institutional buyers with established relationships and predictable ordering patterns often negotiate the best pricing at this tier

Team-based care, including registered dietitian nutritionists (RDNs), exercise physiologists, and health coaches, can be very helpful, but these are not always available depending on health system circumstances and payer policies

By contrast, routine initiation is generally not indicated for lean PCOS or for patients with low cardiometabolic risk, except in selected circumstances (e.g., specific metabolic indications) or within research protocols

These symptoms are often temporary and may improve as the body adjusts

Reaching the goal weight is not the end of treatment