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Finally, if menstrual changes are accompanied by other concerning symptoms such as significant mood disturbance, hot flushes suggesting premature ovarian insufficiency, or signs of androgen excess including excessive hair growth or acne, arrange a comprehensive hormonal assessment with your GP, who may refer you to an endocrinologist or gynaecologist for specialist evaluation and management

However, this does not automatically mean the medication is entirely without risk in this patient population, as clinical trial data for Saxenda specifically in patients with myasthenia gravis are limited

Unopened pens may be kept at temperatures up to 30C for up to 28 days before use

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