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But it also requires more frequent dosing

Patients should contact their GP or prescribing clinician if they experience severe or persistent vomiting that prevents adequate fluid or food intake, as this can lead to dehydration and electrolyte imbalances

When combined with your baseline menstrual history and current cycle regularity, genetic context can support a more personalized conversation with your provider about optimal dosing strategy, monitoring frequency, and whether starting at microdose protocols or slower titration may better preserve hormonal balance while achieving treatment goals