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A backup contraceptive method is advisable during this adjustment period

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After the first year, well transition to quarterly follow-ups for prescription management

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In the non-responders, only a small but significant increase in vitamin B12 levels was observed

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This typically includes thyroid function tests (TSH, free T4), fasting glucose and hemoglobin A1c, lipid panel, and potentially cortisol levels if Cushing's syndrome is suspected

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