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One of the most common hormone imbalances with PCOS is estrogen dominance, and it often comes down to one key issue: irregular ovulation
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Your doctor might monitor these enzymes, but elevations without symptoms generally dont require stopping treatment
A provider may consider another medication if side effects, cost, availability, or treatment response make the current option unsuitable
The other 40% either cycle between periods on and off medication, or attempt lifestyle maintenance alone
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