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If menstrual irregularity develops or worsens after initiating the stack, measure luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol, and thyroid function

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The injection technique is standard subcutaneous

Track the following with each injection: Date and time of injection Injection site (specific location, e.g., left abdomen, 3 inches from navel) Dose Medication temperature (did you warm it to room temperature?) Reaction type (redness, itch, swelling, bruise, lump, pain) Reaction severity (1 to 10 scale) Reaction duration (hours or days until resolution) Treatment used Treatment effectiveness After several weeks of tracking, patterns emerge