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Fluegel, W

A diverse microbiome is often seen as healthier and more resilient

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Stanaway JD, Reiner RC, Blacker BF, Goldberg EM, Khalil IA, Troeger CE, Andrews JR, Bhutta ZA, Crump JA, Im J, Marks F (2019) The global burden of typhoid and paratyphoid fevers: a systematic analysis for the Global Burden of Disease Study 2017

In some cases, safe doses of cortisol and DHEA may be recommended to restore normal hormone levels

If there is a concern, you can discuss changing to non-oral birth control, although I have personally never seen unplanned Ozempic babies in practice in women on oral birth control