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An example of a non-clinical explanatory reference addressing this topic is the article published by TryShed, which outlines how semaglutides mechanism of action differs from hormonal regulation of the menstrual cycle and why weight change itself may be a contributing factor rather than the drug acting directly on reproductive hormones

Neuropharmacology 62 , 2134 (2011)

A direct question to your prescriber settles it

10.1515/BC.2009.033 Biol Chem

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the trial design largely excluded these agents, which is an important consideration when interpreting the hypoglycaemia data