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The FDA previously indicated it would refrain from enforcement actions against compounders until the court issued its ruling

In particular, increased plasma insulin concentrations stimulate the gonadotropin releasing hormone (GnRH) pulsatility and potentiate the LH-dependent effect on the ovarian theca cells, leading to the enhanced synthesis of androgens and to the arrest of pre-antral follicle development [13]

To understand what that means for safety, see the treatment options section

This represents a significant jump to approximately 0.9 mg, crossing into the range where meaningful metabolic effects begin

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