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Contact your GP if you experience absent periods for three months or more, very heavy bleeding requiring hourly pad changes, bleeding between periods, severe pelvic pain, or signs of anaemia such as extreme fatigue or breathlessness
We offer in office and take home B12 shots for convenience
Additionally, observational studies suggest that adherence to recommended titration schedules is inconsistent
And we want to keep the dose low enough that we dont have any of these side effects
Rubegni P, Sbano P, Burroni M, Cevenini G, Bocchi C, Severi FM et al
When treatment adjustments are on the table, talk through the tradeoffs with your clinician, because a dose change can help: Tirzepatide Medics, 50% of those who experienced irregular periods found relief by adjusting their dosage , which suggests a dose conversation is a reasonable early step for many
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