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You should discuss your full health history with your doctor, including: A personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

Because both peptides mimic naturally occurring processes in the body, systemic side effects are rare

Additionally, elevated levels of the plasma amino acid homocysteine can be a functional marker of folate, vitamin B12, or vitamin B6 deficiency, as all these vitamins are required to convert homocysteine into methionine

If amenorrhoea persists despite nutritional rehabilitation, referral to an endocrinologist or gynaecologist is appropriate