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Optional addition: Weekly microneedling with topical GHK-Cu on non-injection days for combined systemic and local effects

Drug Deliv Transl Res 11:22242238

Clinicians should also monitor nutritional risks associated with rapid weight loss, such as deficiencies in iron, folic acid, and B vitamins, to ensure the patient is pregnancy-ready rather than just weight-ready. Given that GLP-1RAs improving IVF outcomes remains limited, their appropriate positioning remains a metabolic optimization tool before ART rather than a standardized pretreatment regimen (48)

Using electrosurgical dissection, the surgeon cuts and releases the exposed xiphoid process from the sternum, and then uses electrocoagulation (electric currents) to stop bleeding