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Risk factors include occupations requiring prolonged standing, being overweight, having flat feet or high arches, tight calf muscles, and sudden increases in physical activity

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Koedderitzsch K, Zezina E, Li L, et al

Metformin: Evidence suggests that GLP-1 receptor agonists may offer superior benefits compared to metformin in terms of weight loss and insulin resistance improvement in overweight or obese women with PCOS