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This can decrease the flow of blood to your ovaries through painful twisting
Check in with a provider if your period disappears for 3+ months, bleeding becomes extremely heavy or painful, you feel persistently dizzy/fatigued, or you suspect under-eating or nutrient deficiency
They often occur as the body becomes accustomed to a particular dosage and appetite regulation stabilises over time, a process sometimes called metabolic adaptation
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Your starting dose is based on factors such as health history, metabolism, and how well your body is expected to tolerate the medication
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