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The best-characterized effects of Se deficiency on sperm include significant loss of motility, midpiece breakage, and increased sperm shape abnormalities (mostly with an abnormal sperm head or bent tail, hairpin-like tail, and an increased percentage of tailless and headless sperms) (85)

When to seek medical advice While menstrual changes on Mounjaro are common and often temporary, certain symptoms warrant medical attention: Contact your GP if you experience: Extremely heavy bleeding (soaking through a pad or tampon every hour for 2+ hours) Severe pelvic pain that isnt relieved by over-the-counter pain medication Bleeding that lasts longer than 7 days Bleeding after menopause Concern about potential pregnancy Passing large blood clots Feeling faint or dizzy from blood loss Medical monitoring considerations If youre experiencing significant menstrual changes: Keep a detailed record of your cycles, including duration, heaviness, and any unusual symptoms Consider having iron levels checked if experiencing prolonged heavy bleeding Discuss with your healthcare provider if changes persist beyond 3-4 months Doctors typically attribute these changes to the weight loss process rather than to Mounjaro directly, but ongoing monitoring is important for your overall health

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