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It is not yet clear if this change affects how well birth control pills work

Persistent Hoarseness or Voice Changes: If you experience unexplained hoarseness that lasts longer than two weeks, or any other significant changes in your voice, it could signal issues with your vocal cords due to thyroid enlargement or a tumor

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The loss of GLP-1 effect on stimulating insulin secretion at basal plasma glucose concentrations limits the hypoglycemic risk even at high pharmacological concentrations of GLP-1 (58)

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