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Why Spotting May Occur During Saxenda Treatment Whilst there is no established pharmacological mechanism by which Saxenda directly causes vaginal spotting, several indirect factors related to weight loss and metabolic changes may explain menstrual irregularities during treatment

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In general, topical treatment such as capsaicin can be trialled in patients with mild pain or with contraindications to systemic treatment

If the medication is fine, use it

However, Helicobacter and Desulfovibrio were significantly negatively correlated with pseudobaptigenin