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Temperature-related complaints like chills and hot flashes appeared consistently enough in real-world reports to be notable, but the study does not establish that these symptoms are caused by the medications

Johnson W BW, Belsito DV

For postpartum women with insulin resistance, PCOS, or gestational diabetes that persists after delivery, metformin may serve double duty by managing blood sugar and supporting weight loss

That said, patients should always verify licensure directly on the official website, confirm their states eligibility, and never purchase compounded medications from unverified sources