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Potential risks or side effects may include: Redness or irritation at the injection site Rare allergic reaction Headache or nausea (usually transient) Patients with asthma, sulfite sensitivity, or chronic liver/kidney conditions should inform their healthcare provider during the initial consultation

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MI, by mitigating IR, decreases insulin-driven thecal cell steroidogenesis and hepatic inhibition of sex hormone-binding globulin (SHBG), effectively reducing free androgen bioavailability (228)