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It can also decrease the cellular action of circulating thyroid hormones, potentially interfering with medications like Levothyroxine used for hypothyroidism, which could paradoxically worsen fatigue if unmonitored

The authors have no conflict to declare

There are a few reasons why this might be happening, but Dr

Cetrorelix was also evaluated in five patients with advanced carcinoma of the prostate and paraplegia due to metastatic compression of spinal cord, who could not be treated with LH-RH agonists because of the risk of flare 34