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The uncontrolled GnRH stimulation may lead to hCG production by pituitary gonadotrope cells

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Atzeni A (2024) Gut microbiota dynamics and association with chronic kidney disease: a longitudinal study within the PREDIMED-Plus trial

For some people, this is mild and improves as the body adjusts

When in doubt, err on the side of caution and request a replacement rather than risk injecting compromised medication