My endo and I disagree about book club 12 month update and I want a reality check.

They are saying that I do not need to worry about it but everything I have read here suggests otherwise.

I trust this community's collective knowledge but I also do not want to go against medical advice without good reason. What would you do?

Book club 12 month update — I actually dealt with this exact situation around month 3.

Short answer: talk to your prescriber first. Longer answer: I wrote about my experience in the results forum if you want the full details.

Dr.NutriCornell said:

Short answer: talk to your prescriber first

Completely agree with Dr.NutriCornell. I would add that Book club 12 month update also has implications for body composition that sometimes get overlooked in these discussions.

In my case, following a similar approach led to fewer side effects compared to what I was doing before.

Following this thread closely. Book club 12 month is something I'm actively working through.

As a healthcare provider, I want to add some clinical context to this discussion on Book club 12 month update.

Building on what AussieAnna said — the evidence base here is well-established. The key publications to reference are from the SELECT program[1].

Key clinical points:

1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
2. Side effect profile is predictable and usually manageable with standard protocols
3. Monitoring should include baseline labs and follow-up at 3-month intervals
4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.