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The German Diabetes Center (DDZ) estimates that at least 7.2% of the population in Germany presently has diabetes, and that number will rise dramatically over the next 20 years

Bottom line Current research doesnt show that endometriosis itself makes oral contraceptives less effective when you use GLP1 inhibitors/GLP1 analogs but GLP1 side effects and medication-specific absorption guidance can make oral contraception harder to use reliably

Gahl WA, Wong-Rieger D, Hivert V, Yang R, Zanello G, Groft S (2021) Essential list of medicinal products for rare diseases: recommendations from the IRDiRC Rare Disease Treatment Access Working Group

Botox is one specific FDA-approved brand

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