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This is more about being cautious than a requirement

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A real-world study published in JAMA Internal Medicine found similar results at 12 months: 15.3% versus 8.3%

This makes it far more convenient in terms of travel and being able to take it on the go

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The article explains that these medications act on the hypothalamus and brainstem, neural centers that also modulate reproductive hormone signaling, and that rapid weight loss suppresses leptin, an adipokine that helps stabilize estrogen and progesterone cycling