According to NHS guidance, you should contact your GP urgently if you experience very heavy bleeding (causing flooding, passing large clots, or soaking through protection every hour for several consecutive hours), bleeding that lasts longer than seven days, persistent or heavy bleeding between periods, bleeding after sex, severe pelvic pain, or symptoms of anaemia such as extreme fatigue or dizziness
In addition, the authors found a slow increase in the Sequential Organ Failure Assessment (SOFA) score
doi: 10.1016/j.ejphar.2016.10.016 45 RoglianiPMateraMGCalzettaLHananiaNAPageCRossiIet al
Apnimed announces positive results in clinical trial of sleep apnea medication
When to seek medical advice : Patients should contact their GP if they experience new or worsening symptoms, significant functional impairment, or if current treatments are ineffective or causing intolerable side effects
Initial glucose-lowering effects typically occur within days to weeks, but maximum benefits including HbA1c reduction and cardiovascular effects may take up to 3 months to fully manifest