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It mimics a natural hormone that's involved in digestion
Metabolism of ethinylestradiol and levonorgestrel occurs mainly in the liver but also in the gastrointestinal tract [24] via CYP enzymes, particularly by CYP3A4, which is expressed in the liver and intestine [25]
[37] The result is that Americans pay two to four times more than patients in peer countries for the same drugs
International Journal of Molecular Sciences, 10(4), 1465-1475
Much longer and the medication might accumulate excessively or take too long to clear
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