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Elevated estrogen levels can lead to various menstrual disorders, including oligomenorrhea (infrequent periods), amenorrhea (absence of periods), and heavy menstrual bleeding

As an SSRI, fluoxetine works by increasing serotonin availability in the brain by blocking its reuptake at nerve synapses

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As such, the FDA warns that Ozempic, Rybelsus, and Wegovy should not be used by those with a family history of medullary thyroid carcinoma or a personal history of Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

Fujita H, Morii T, Fujishima H, et al