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Other common side effects can include: Dizziness or lightheadedness (especially when standing up) Frequent urination Fatigue or drowsiness Menstrual irregularities Breast tenderness or enlargement Headaches These side effects underscore a crucial point: spironolactone is a potent prescription medication that requires professional medical supervision

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For women with PCOS who are actively trying to conceive, GLP-1 receptor agonists may be used in the preconception period to improve metabolic health and support weight loss, but they should be discontinued before conception with an appropriate washout period based on the specific agent

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