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Serious side effects are rare but can include pancreatitis or thyroid issues
The Mirena IUD is approved for pregnancy prevention for up to 8 years

For a hormone given at a fixed daily dose to protect the endometrium, a blunted or delayed peak could theoretically reduce efficacy over a full treatment cycle

The risk of CV mortality increases with increased CKD staging, regardless of diabetes status
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This can cause poor sleep, hair loss, and low energy

Adler AI, Ting S, Dent R, Latimer N (2019) NICE guidance on dapagliflozin with insulin for type 1 diabetes
