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The clinically important interactions are with insulin and sulfonylureas (high hypoglycemia risk), warfarin (INR monitoring needed), oral contraceptives (slight absorption change), levothyroxine (timing matters), and antibiotics that require precise blood levels

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Testosterone is converted to estrogen in peripheral fat, says Kohn

Notable Harms The AEs of special interest identified for this review included CV AEs, cholelithiasis, nausea, vomiting, constipation, gastroesophageal reflux disease, and pancreatitis

Symptoms of Low Blood Pressure Symptomatic low blood requires medical attention