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A recent Cochrane review (8 studies, 640 participants) was not able to determine if ultra-long GnRH agonist cycles impacted livebirth (RR 0.48, 95% CI: 0.260.87) and clinical pregnancy rates (RR 0.48, 95% CI: 0.260.87) or mean number of oocytes (MD 0.72, 95% CI: 0.061.38) or embryos (MD -0.76, 95% CI: -1.33 to -0.19) as the quality of evidence was very low

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The results showed substantial and dose-dependent reductions in body weight, which encouraged further phase 3 investigation

They also stop a common beginner mistake: treating units as if they were the drug dose