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If you have polycystic ovaries on a scan and irregular (or missing) periods but without signs or hormone test results indicating androgen excess, you could have hypothalamic amenorrhea
Medication adjustments may be considered in consultation with prescribing clinicians: Dose reduction : Lowering the Ozempic dose may reduce symptom severity whilst maintaining some glycaemic benefit Slower titration : Increasing the dose more gradually than standard protocols may improve tolerability Prokinetic agents : In the UK, medications such as metoclopramide are generally restricted to short-term use (maximum 5 days) due to neurological side effect risks
Visual inspection is therefore supplementary to and not a substitute for strict adherence to validated storage conditions and assigned beyond-use dates
Thats why taking vitamin B12 supplements is important after gastric bypass surgery
