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This explains why some postmenopausal women feel that semaglutide does not suppress their appetite as strongly as expected

63 In a 12month study ( n = 99), EECA and ethinylestradiol/ desogestrel (EE/DES) alone or combined with metformin were equally effective for improving hirsutism, with no added benefits from lowdose metformin

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It can render your medication completely useless, waste hundreds of dollars, and potentially introduce safety risks from bacterial contamination or degraded compounds