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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

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Another review looked at how well different GLP-1 receptor agonists worked when added to metformin in people with type 2 diabetes

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