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Follow-up of participants ended in December 2014
In addition, female patients should be counseled that the medications may make birth control pills less effective. For more information: Joyce M
Some patients find that applying gentle pressure afterward helps reduce soreness
Investigations are guided by clinical suspicion rather than routine panels: for example, thyroid function tests and ferritin may be checked if symptoms suggest deficiency or thyroid disease, while an androgen profile may be appropriate in women presenting with menstrual irregularity, hirsutism, or acne
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