Flashcards in Reproductive function in obesity and insulin resistance Deck (2)
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A 29-year-old nulliparous woman comes to your office because she wishes to conceive. She has a body mass index (BMI) (weight in kilograms divided by height in meters squared [kg/m2]) of 37. She has irregular menstrual cycles and a finding of acanthosis nigricans around her neck and axillae. Her fasting glucose level is 108 mg/dL. The best treatment to achieve pregnancy in this patient is:
(A) glyburide
(B) metformin hydrochloride (Glucophage)
(C) clomiphene citrate (Clomid, Serophene)
(D) lifestyle modifications
(E) gastric bypass surgery
(D) lifestyle modifications
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