tirzepatide south africa Mounjaro Now In Rybelsus, Mounjaro, Wegovy: India's weight-loss

[2] KFF Employer Health Benefits Survey, 2025

Why is this a concern

You should contact your GP or prescribing clinician if you experience: Absent periods for three months or more (amenorrhoea), particularly if you are not menopausal and pregnancy has been excluded Very heavy bleeding requiring pad or tampon changes every hour, or passing large clots Bleeding between periods (intermenstrual bleeding) or after intercourse (postcoital bleeding) Severe pelvic pain that is new, worsening, or different from your usual menstrual cramping Signs of anaemia such as extreme fatigue, breathlessness, palpitations, or pallor Suspected pregnancy remember that weight loss and improved metabolic health may increase fertility, particularly in people with PCOS Additionally, seek urgent medical attention if you experience: Severe, persistent upper abdominal pain (with or without vomiting) which could indicate pancreatitis Right upper abdominal pain, fever or yellowing of the skin/eyes, which might suggest gallbladder disease Heavy bleeding causing dizziness, fainting or signs of shock Your clinician will take a thorough history and may arrange investigations including: Pregnancy test to exclude pregnancy as a cause of amenorrhoea Full blood count to assess for anaemia if bleeding is heavy Thyroid function tests as thyroid disorders commonly affect menstruation Hormone profile including FSH, LH, oestradiol, and prolactin if amenorrhoea persists Pelvic ultrasound to evaluate structural causes such as fibroids or ovarian cysts It is particularly important to seek advice if menstrual changes are accompanied by other concerning symptoms such as unexplained weight loss (beyond that expected with Saxenda), severe abdominal pain, or signs of systemic illness

Increased Energy Expenditure: Activation of the glucagon receptor encourages the body to break down stored fat and increases the metabolic rate, further supporting weight loss