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The question is what causes them, and the answer is almost always indirect

On January 4, 2026, Novo Nordisk's data exclusivity for semaglutide expired in Canada

Who can help You have several good options: Your primary care provider (PCP) They can evaluate symptoms, rule out other causes, and start treatment such as: Hormone therapy (if appropriate) Non-hormonal medications for hot flashes or mood Sleep support Lifestyle guidance A gynecologist (OB-GYN) Often the best starting point, especially if: Periods are irregular Youre unsure if symptoms are hormonal You want guidance on hormone replacement therapy (HRT), bleeding changes, or birth control during perimenopause A menopause specialist Some clinicians have extra training (e.g., NAMS-certified menopause practitioners )

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The goal was to help manage metabolic conditions like type 2 diabetes

It is worth noting that Rybelsus does not have official approval for addressing PCOS