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Managing Expectations and Side Effects at the Starting Dose The most common side effects during the 0.25 milligram phase include mild nausea, slight fatigue, and occasional changes in bowel habits

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This is exactly why we always start with labs and a full medical history before recommending any protocol candidacy isn't a guess, it's a data-driven decision

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If persistent or recurrent bleeding occurs despite initial negative findings, further testing such as hysteroscopy with dilation and curettage may be warranted, says Rosser