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In some cases, referral to gynaecology services may be appropriate for further investigation, which could include pelvic ultrasound scanning or endometrial assessment in line with NICE guidance on heavy menstrual bleeding (NG88)
Slower dose escalation or short treatment pauses may improve tolerance 9,15
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Oral semaglutide is used to support weight loss, blood sugar control, and may help those dealing with obesity and related health problems
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