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It is also possible that the patient obtained a diagnosis after being dispensed the drug, or before the 5 years included for preexisting diagnoses in this study design

Moreover, following a recent clinical trial including 1363 patients, this study was published in The Lancet

But youre not two, three years out of college, sleeping on the floor, just having gotten fired, and thinking, This is exactly the way I planned it

So that could be applied to whatever it may be

While significant weight loss can occasionally affect menstrual cycles in pre-menopausal women, it doesnt extend your reproductive years or delay the natural onset of menopause