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While the medication does not directly cause gastrointestinal bleeding, its effects on bowel function may indirectly contribute to conditions like hemorrhoids or anal fissures that produce rectal bleeding

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doi: 10.3389/fendo.2021.736867 18 WilliamsABabuJRWadsworthDDBurnettDGeethaT

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The shedding often occurs several months after the initial stressor

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