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Nearly 4% of users who reported side effects also described reproductive symptoms, including irregular menstrual cycles, intermenstrual bleeding, and heavy bleeding

That's among the highest in health care

Lancet Diabetes and Endocrinology

* Correspondence: Michael Ben Okon, [email protected] ORCID: Michael Ben Okon, orcid.org/0000-0001-5585-1134 Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers