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Meanwhile, the Faculty of Sexual and Reproductive Healthcare (FSRH) has warned that if patients experience severe diarrhoea or vomiting whilst using GLP-1 agonists and oral contraception, they should follow FSRH recommendations, including manufacturers advice for a missed pill and use of condoms 37

These data support pathophysiology of MSL hypothesis 1 above for the development of MSL but also support hypothesis 2 in that alcohol may cause widespread damage to mitochondria

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