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Furthermore, a case-control study from Japan suggested that consumption of black tea (OR = 1.88, 95% CI 1.033.41) and coffee (OR = 1.57, 95% CI 0.952.61) increased the risk of SLE ( Figure 2 ) (170)

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I would not put a lot of weight on a study that looked at such a small sample size (6/7 per group). In other words, more evidence is needed to support any conclusions about how fluoxetine affects hormonal balance in human females