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In addition, hyperinsulinemia is responsible for the increase in the androgen production through both the direct stimulation of insulin receptors and the cross-reaction with Insulin-like Growth Factor-1 (IGF-1) receptors expressed on thecal cells [14]

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Noticeable effects typically begin within one to four weeks, with more consistent suppression emerging after reaching higher maintenance doses during the gradual titration schedule

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Patients who want to stay informed about changes should follow updates from the FDA, the National Community Pharmacists Association, and their state pharmacy boards

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