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SGLT2 inhibitors (sodium-glucose co-transporter-2 inhibitors) represent an excellent alternative class: Medications such as empagliflozin, dapagliflozin, or canagliflozin work by increasing urinary glucose excretion

Cycle length varies

Additionally, patients may use nasal decongestants, corticosteroid nasal sprays, or have underlying conditions such as hypertension that predispose to nosebleeds

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Summary: Small studies suggest that green tea, lycopene, and moderate alcohol intake may lower IGF-1 levels, but more research is needed