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Considering that cabergoline is now the first line drug, it has better efficacy and its safe in pregnancy, most of the participants of the recent Pituitary Guideline for prolactinoma did not recommend switching cabergoline to bromocriptine before conception, as this change could result in loss of control of prolactin levels and could negatively affect fertility (45)

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The ultimate goal is to formulate actionable guidelines that integrate the scales of urban planning and design, ensuring a holistic and resilient approach to managing coastal areas