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doi: 10.7570/jomes.2017.26.3.155

It has not been approved by the MHRA (Medicines and Healthcare Products Regulatory Agency)

In more detail, enclomiphene interferes with the usual communication between the brain (specifically a part called the pituitary gland) and the gonads (ovaries in women, testes in men), which are all part of a system that controls hormone levels

It also contributes to other diabetic complications, such as fatty liver [31]

While it is primarily used for its glucose-lowering effects, recent research has suggested that semaglutide may also have some neurologic benefits

From a patient and providers perspective, the official FDA shortage list unfortunately doesnt always reflect patients reality in real-time (it was never designed to do so and its not an inventory management system)
