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Results have varied considerably

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doi: 10.1093/ECCO-JCC/JJW154 225 KaiserAEBaniasadiMGiansiracusaDGiansiracusaMGarciaMFrydaZet al

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)

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No, persistent nausea or other gastrointestinal symptoms at your current dose indicate you should not escalate until these symptoms resolve