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14 The goal of the conference was to share experiences from early adopters of pharmacist-initiated HC, learn from thought leaders from other states, and explore strategies for implementation

Patients should be instructed to rise slowly from a sitting position, and to report syncope or changes in blood pressure or heart rate to their health care provider during concurrent use of an MAOI and hydrochlorothiazide, HCTZ

Additionally, insulin resistance can worsen other PCOS symptoms, including irregular periods, excess androgen production, and fertility challenges

In cases where B12 levels are borderline or clinical suspicion remains high despite normal results, additional tests may be valuable