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More frequent reviews during dose escalation are recommended, with particular attention to hydration status and any symptoms suggesting disease flare or medication complications

Most successful patients use regular self-tracking of food, exercise and weight

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He looks, well, not obese

The first cycle was 7 days of spotting pre-ovulation, the second was 3 days of spotting pre-ov, and right now Im on day 5 of spotting pre-ovulation