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As a result, blood tests may show normal B12 levels, even though the body is not receiving the active form it needs

This typically includes a detailed medical history, physical examination, and relevant investigations such as: Serum pregnancy test (beta-hCG) Thyroid function tests (TSH, free T4) Prolactin levels Follicle-stimulating hormone (FSH) and luteinising hormone (LH) (note: FSH is not routinely recommended to diagnose perimenopause in women aged 45 or over) Oestradiol levels Androgen profile if PCOS is suspected Pelvic ultrasound if structural causes are suspected If you think you might be pregnant, stop taking Ozempic immediately and contact your prescriber

Educational resources: Share content on GLP-1 therapy, side effects, and management strategies by providing digital patient education and videos on common GLP-1 medications

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