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Patients should seek urgent medical attention if they develop: Severe symptoms including extensive vulval swelling or ulceration Systemic features such as fever Pregnancy with severe symptoms Immunocompromised state with infection Unusual vaginal discharge with offensive odour, particularly if accompanied by pelvic pain, which suggests possible pelvic inflammatory disease requiring prompt antibiotic therapy Any vaginal bleeding outside normal menstruation It is important to note that over-the-counter fluconazole has specific licensing restrictions and may not be available without prescription for all patients

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The medication works on GLP-1 receptors in the brain and gut to reduce food intake and blood sugar, not by triggering muscle catabolism

Because youre not doing anyone a favor, you may be causing more harm than good. If youre having side effects from GLP-1 or similar drugs, whether youre taking Ozempic, Wegovy, or Mounjaro, a physician can order tests to identify whether the medication is the problem