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Common Side Effects The most common side effects experienced by patients include: Nausea (typically mild to moderate and often improving with continued use) Fatigue (may diminish as your body adjusts to the medication) Less Common Side Effects Vomiting Constipation Abdominal pain Headache Upset stomach Dizziness Bloating Belching and gas Gastroenteritis (stomach flu) Heartburn Upper respiratory symptoms (runny nose, sore throat) Rare Side Effects Burning sensation in the chest or stomach Indigestion Stomach upset Tenderness in the stomach area Most side effects are temporary and tend to decrease in intensity as your body adapts to the medication

Moreover, increased plasma insulin levels also increase the amount of circulating free androgens by reducing the production of Sex Hormone-Binding Globulin (SHBG) in the liver [15]

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This dual-phase clearance profile requires precise washout period planning for sequential dosing protocols