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Technically, once youve gone 12 months without a menstrual cycle, youve reached menopause

Gaither says its important to determine whether the medication is actually causing those changes or if they have another cause

First, the physical discomfort can lead to medication fatigue. If every meal results in nausea, you may become discouraged and consider stopping the treatment

Try to take small, regular sips rather than gulping large amounts at once, as drinking too much in one go can trigger nausea linked to slowed gastric emptying

Abstract from the 83rd American Diabetes Association meeting

Femoral neck BMD decreased after using dulaglutide, although not as much as when using a placebo