I'm not a bone expert, but we changed how we started thinking about it
You do not need a referral from your GP, though it is always a good idea to let your GP know about any new medication you are starting
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You can also find open clinical trials by visiting ClinicalTrials.gov
However, most of the subjects included in the RCTs are PCOS patients with obesity/overweight, whereas a portion of PCOS women, which can even reach 50%, might present a lean phenotype