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Bottom line Current research doesnt show that endometriosis itself makes oral contraceptives less effective when you use GLP1 inhibitors/GLP1 analogs but GLP1 side effects and medication-specific absorption guidance can make oral contraception harder to use reliably

Conclusion GLP-1 drugs slow gastric emptying and cut appetite, which can make proteins sit in your gut longer

However, the practical utility of truly "spot-targeting" muscle growth remains debated, as some systemic distribution inevitably occurs

This typically includes fasting IGF-1, GH stimulation testing where indicated, thyroid function, fasting glucose, HbA1c, cortisol, and a complete metabolic panel