ingrid_STO said:

Started this for PCOS-related insulin resistance, and the thing nobody prepared me for was that my cycle came back within two months.

ingrid_STO said:

...everyone should be on fertility and pregnancy...

I understand the enthusiasm, but "everyone" is too broad. Contraindications exist: personal/family history of MTC or MEN2, history of pancreatitis, pregnancy/breastfeeding, and certain GI conditions.

Beyond contraindications, clinical judgment matters. A 22-year-old with BMI 28 and no comorbidities has a different risk-benefit calculation than a 55-year-old with BMI 38 and metabolic syndrome.

Let's advocate for ACCESS without advocating for UNIVERSAL use. They're different things.

DebRD_ATL said:

ingrid_STO said: ...everyone should be on fertility and pregnancy...

That holds where the measurement is reliable. Where it is noisy — and a lot of what gets tracked here is noisy — the same reasoning produces confident nonsense.

ingrid_STO said:

Started this for PCOS-related insulin resistance, and the thing nobody prepared me for was that my cycle came back within two months.

Same pattern here, and in the same order.

Clinical perspective, offered as context rather than as advice. Whatever the answer turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, and invite the correction. That is slower than asserting, and it is the only version that survives being wrong.