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This can happen for a variety of reasons, such as bariatric surgery, Ozempic (semaglutide) or Semaglutide use, extreme dieting or medical illness

[16] Hypercholesterolemia was reported in 3.5% of postmenopausal women with operable breast cancer who received adjuvant tamoxifen therapy (n = 3094) in the ATAC trial

Patients who are pregnant, planning pregnancy, breastfeeding, or dealing with certain medical conditions may need a different approach

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In humans, however, randomized trials with fertility endpoints are lacking