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This is a precautionary recommendation, not a declaration that oral birth control fails entirely

(6) Increased bone marrow adipose tissue accumulation and altered mesenchymal stem cell differentiation contribute to reduced osteoblast activity, increased osteoclastic resorption, and an overall decline in bone strength, leading to a greater fracture risk despite higher bone mineral density measurements

1 Introduction In the past decade, obesity and related co-morbidities have become critical public health problems and serious medical conditions worldwide ( 2 )

Klaff, R

Different medications have different chemical structures