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c/glp1women·submitted 1 year ago by u/gustav_lindholm

contraception — 16 things I got wrong before I got it right

Cautionbranch of 8 comments

contraception — 16 things I got wrong before I got it right. Change my mind, genuinely — I have no stake in being right about this. Perimenopause and all of this at once, and there is essentially nothing written about the combination anywhere. The same dose genuinely feels different at different points in the month…

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8 comments, started 1 year ago
u/hair_shed_hannah179 points·1 year ago

Trial populations for the major programmes were not designed around the questions this board asks most often, which is why the evidence base here is genuinely thinner rather than merely harder to find.

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u/karl_fischer_kev75 points·1 year ago

Small fix — insulin resistance is a feature commonly seen in PCOS, not a synonym for it.

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u/aleksi_eriksen22 points·1 year ago

That trial did not enrol the population you are asking about, so it cannot answer this.

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u/enzo_fonseca0 points·1 year ago

The hair shedding was the thing that frightened me most and the thing that mattered least. It stopped.

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u/ignacio_kuipers1 point·1 year ago

Is this a PCOS diagnosis or an insulin resistance finding?

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[deleted]1 point·1 year ago

[deleted]

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u/gustav_lindholmOP1 point·1 year ago

Are you asking about the compound, the weight loss, or both?

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u/gustav_lindholmOP100 points·1 year ago

Are you logging the cycle alongside the dose?

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The questions the trials under-powered: PCOS and insulin resistance, cycle changes, fertility signal and contraception interactions, perimenopause and menopause weight physiology, and the fact that the pregnancy answer is always "not while trying, talk to your clinician".

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