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Jatoi, S., Hafeez, A., Riaz, S

[7] Commonly observed adverse effects include transient injection-site discomfort, breast tenderness, nausea, fluid retention, and mild mood fluctuation, whereas rarer but serious events encompass venous or arterial thromboembolism, gallbladder disease, significant elevation of blood pressure, and hormone-sensitive malignancies such as endometrial or breast cancer

Additionally, one practitioner notes, [M]any doctors may be using the standard lab value reference range instead of the optimal reference range

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Serious adverse events in clinical trials were rare and generally not attributed to the compound