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Diabetes Care 40 , 614624 (2017)

Obes Surg 29(1):314 AziziKia H et al (2024) Periprocedural changes of serum biomarkers in predicting complications following bariatric surgery for obesity: systematic review and meta-analysis

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The study did not show a clinically meaningful change in either hormones exposure: ethinyl estradiol exposure (level) was essentially unchanged, and levonorgestrel exposure (level) increased modestly (by less than 20%), in a way that, if anything, would maintain or improve contraceptive effectiveness

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Most patients experience their strongest side effects during weeks one through three, then notice significant improvement by week four