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Alginates (e.g., Gaviscon) which form a protective barrier on top of stomach contents

Excess adiposity contributes to dysregulation of the hypothalamic-pituitary-gonadal axis through increased aromatization of androgens to estradiol within adipose tissue, which may suppress hypothalamic-pituitary gonadotropin signaling, along with inflammatory signaling and alterations in sex hormone-binding globulin dynamics

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Your prescribing physician should monitor for these overlapping effects and adjust dosing schedules if needed

Ashley Koff, RD 00:05:18 Yeah