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The labeling was considered false or misleading because it implied Belle Health was the source of the compounded medications when it was not

Effects of combined metformin and cabergoline versus metformin alone on ovarian and hormonal activities in Iraqi patients with PCOS and hyperprolactinemia: a randomized clinical trial

The concern discussed in the literature is narrower and more specific: sustained IGF-I elevation is theoretically undesirable in the presence of an undetected existing malignancy, because IGF-I is a growth factor for tissue that is already there