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10.1016/j.medj.2025.100805 Med 30 TangY.WangY.YangG.-Y.ZhangZ.GuoY.ChenT.et al

Incretin A category of gut hormones (including GLP-1 and GIP) that enhance insulin secretion after eating

hormonal contraception can regulate if bothersome Lighter, shorter, or skipped periods: Likely mechanism: improved insulin sensitivity restoring or altering ovulatory patterns Typical timeline: starts week 4 to 8, may persist as new baseline if PCOS was underlying issue Associated findings: history of irregular cycles pre-treatment, elevated baseline hemoglobin A1c, acanthosis nigricans What it means: metabolic improvement is changing your ovulation pattern

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doi: 10.1164/rccm.201308-1483st, 55