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The glucagon arm drives basal energy expenditure upward a mechanism the dual-agonists do not have

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But once you take the inactive pill, hormone levels drop and trigger bleeding, he explains: "It's not a period the way you would think of in someone who's not taking birth control because it's induced by medication and not by normal processes." Tip No contraceptive is 100% effective at preventing pregnancy, so if you're sexually active and you don't get your period when expected, you might want to take a pregnancy test just in case