tirzepatide rotten egg burps Rotten-Egg Meets Restless Legs: The Hidden Link with IMO | by Morgan Wells Why do I get severe

While Fraxel and IPL lasers can reduce sun spots, age spots, and other forms of hyperpigmentation, they may worsen melasma pigmentation

Patients often express frustration when excess skin remains after reaching their weight goals, making skin-tightening treatments a valuable solution

For symptomatic or persistent cysts , or those with concerning features on imaging, surgical intervention may be necessary: Laparoscopic cystectomy : Removal of the cyst whilst preserving the ovary (preferred for younger women) Oophorectomy : Removal of the affected ovary in cases of large, complex, or potentially malignant cysts In women with PCOS , treatment focuses on managing the underlying metabolic and hormonal dysfunction: Lifestyle modification : Weight loss of 510% can restore ovulatory function Metformin : First-line pharmacological treatment for insulin resistance in PCOS Ovulation induction : Letrozole (often used first-line though off-label) or clomifene citrate for women trying to conceive Anti-androgens : Such as co-cyprindiol for severe hirsutism and acne when other treatments have failed (note: co-cyprindiol carries an increased risk of venous thromboembolism) [1] Urgent referral to gynaecology is warranted if there is sudden, severe abdominal pain (suggesting rupture or torsion) or signs of internal bleeding

You might start feeling more tired than usual, experience muscle loss, notice hair thinning, or even struggle with impaired mood or cognition

NICE CKS: Constipation