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However, its important to know that one may be more effective than the other

Further study is required to interpret these observations

[9] [10] However, older adults with severe heart failure or significant renal impairment require careful assessment, as dehydration from gastrointestinal side effects may exacerbate kidney function decline and increase acute kidney injury risk

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The clinical manifestations include ovulatory disorders, irregular menstruation, hyperandrogenemia, and polycystic ovarian morphology [2]