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Study population Female patients aged 2040 years were identified based on a documented fertility-related encounter, defined as a medical visit associated with a diagnosis of female infertility, an encounter for procreative management (encompassing general counseling, fertility testing, and ART surveillance), or specific fertility treatments (e.g., intrauterine insemination, oocyte retrieval) (see codes in Supplementary Table S1)

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It works as a sympathomimetic amine, essentially a stimulant that suppresses appetite through norepinephrine release in the hypothalamus