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Insulin-sensitizing drugs are the second-line treatment, with metformin being the most recommended therapeutic option, to improve peripheral insulin sensitivity in order to decrease insulin levels and, consequently, insulin-mediated stimulation of ovarian androgen secretion 17

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10.1016/S0140-6736(09)60659-0 [DOI] [PubMed] [Google Scholar] Campbell, J
Common Side Effects: Nausea, vomiting, diarrhea, and constipation

So the BMI is certainly a bit lower, particularly for some of the Asian population where the BMIs are actually lower regarding health risk
