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Semaglutide is contraindicated in patients with personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, or serious hypersensitivity to the medication
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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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doi:10.1111/j.1365-313X.2004.02269.x
