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Most patients report that side effects become manageable or disappear entirely within two to three weeks, and the slow titration schedule helps minimize their intensity

Estrogen production by granulosa cells also increases, causing thickening of the uterine endometrium to support implantation should fertilization occur

Following dichotomization of ALT responders based on a median 12.9% decrease from baseline, we found that ALT responders were younger in age and did not have severe diabetes compared with ALT non-responders

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Ultrasound prediction of fetal macrosomia in pregnancies complicated by diabetes mellitus: a systematic review and meta-analysis