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Lancet Oncol 6:780789 Ruiz-Velasco V, Rosas-Arceo J, Matute MM (1979) Chemical inducers of ovulation: comparative results

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Death from CV cause, nonfatal MI or stroke occurred in 8% of the placebo group and 6.5 % of the treatment groupso the absolute risk of events was reduced by 1.5%

While not directly linked to Rybelsus, changes in immune function or systemic health while on the medication could increase susceptibility to infections or inflammation