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[1] While the medication does not directly target reproductive hormones, some women have reported menstrual cycle changes after starting treatment

Postprandial nutrient handling and gastrointestinal hormone secretion after Roux-en-Y Gastric bypass vs sleeve gastrectomy

doi: 10.2967/jnmt.107.048116

When testosterone enters sebaceous gland cells, an enzyme called 5-reductase type 1 converts it into dihydrotestosterone (DHT), a significantly more potent androgen (Ghosh et al., Indian Journal of Dermatology , 2014)