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61 Data from the Royal College of General Practitioners 12 and subsequent randomized trials have shown that the incidence of hypertension increases with increasing quantities of progestogens

SSNHL has also been described for CPA meningiomas as well as more rare pathology like metastatic disease or paraneoplastic syndromes [79,80,81]

The patient was hemodynamically stable and remained entirely asymptomatic, with no reports of jaundice, abdominal discomfort, or systemic symptoms indicative of hepatic dysfunction