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This hypothetical adverse effect, although not clinically reported until now, is analogous to the hypothalamic-pituitary axis suppression seen with long-term use of systemic corticosteroids Exacerbation of Helicobacter pylori associated peptic ulcers: Helicobacter pylori is known to feed on macrophages and neutrophils abundant at the site of inflammation caused by the ulcer

They may also arrange blood tests to investigate treatable causes of fatigue, such as iron deficiency or thyroid dysfunction, which are common in the postnatal period and have evidence-based treatments compatible with breastfeeding

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