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Monitor blood sugar closely during dose escalation and work with your prescriber to adjust concurrent diabetes medications

If it's included, review the conditions it's approved for, the tier it falls under (this affects how much you pay), and your expected out-of-pocket costs

Liver function monitoring is crucial due to reports of hepatic fibrosis and cirrhosis in long-term users (Yu et al

Combined, these effects disrupt normal cyclic hormone patterns, change feedback to the hypothalamus and pituitary, and can result in irregular cycles, low sperm quality, or anovulation

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