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This hormonal environment suppresses the hypothalamicpituitary axis, reducing the secretion of the gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and follicle-stimulating hormone (FSH), thereby preventing ovulation

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Standard pre-treatment bloodwork includes comprehensive metabolic panel to check kidney and liver function, lipid panel for cholesterol, A1C or fasting glucose for diabetes screening, and thyroid panel