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Combination therapies, especially with ovulation induction or adjunct metabolic agents, tend to yield better fertility outcomes than metformin monotherapy

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Dosage: 0.25 to 0.5 mg daily Administration: Subcutaneous injection 1 to 2 inches from lateral epicondyle Frequency: Once daily, some split into twice daily Duration: 4 to 8 weeks for acute injuries, 8 to 12 weeks for chronic Timing: Evening injection may align with natural repair cycles during sleep Starting Conservative Beginning with lower doses and gradually increasing allows you to assess your response while minimizing any potential issues