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1998 Feb 4;279(5):359-64

Other conditions, such as ovarian cysts, menstrual cramps, pelvic inflammatory disease, urinary tract infections, irritable bowel syndrome, or gastrointestinal issues, can also lead to similar symptoms

There is also an animal-based warning about thyroid Ccell tumors

Suppressing Glucagon Secretion: Glucagon is another hormone produced by the pancreas that has the opposite effect of insulin it raises blood sugar by signaling the liver to release stored glucose