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HbA1c improvement was defined as more than 0.3 percentage point reduction, and worsening of HbA1c was defined as at least 0.3 percentage points increase from baseline to 20 weeks

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Low-dose oral contraceptive pill for dysmenorrhea associated with endometriosis: a placebo-controlled, double-blind, randomized trial

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The studys focus on commercially insured patients may limit generalizability, as such individuals may differ from those with public or no insurance