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Cardiomyopathy can develop in the absence of an acute episode, and can result in death

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Levonorgestrel, desogestrel, norgestimate, and norethindrone notably have the lowest androgenic activity.[54] Some newer progestins, such as drospirenone or cyproterone acetate, even antagonize the androgen receptors and display antiandrogenic properties.[55,56] Several studies have shown that oral contraceptives do indeed reduce facial oiliness