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Using spoiled medication may not only be ineffective but could also increase the risk of an adverse reaction at the injection site

Moreover, increased androgen levels (in PCOS patients) contribute to upper urinary tract infections, increased urinary citrate and sodium excretion, and renal tubular injury

This is where most patients experience challenges

van Zuuren EJ, Fedorowicz Z, Kuijpers T, Pijl H (2018) Effects of low-carbohydrate- compared with low-fat-diet interventions on metabolic control in people with type 2 diabetes: a systematic review including GRADE assessments

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