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Seek urgent medical help if you experience: severe or persistent abdominal pain , especially if it is intense, worsening, or not linked to meals upper abdominal pain that spreads to the back , with or without nausea or vomiting ongoing or uncontrollable vomiting that stops you from eating or drinking right-sided abdominal pain , particularly after meals signs of pancreatitis , such as severe stomach pain with vomiting and feeling very unwell signs of acute kidney injury , including very low urine output, dark urine, swelling in the legs or ankles, or extreme tiredness allergic reactions , such as swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, or a widespread rash sudden or worsening vision changes , including blurred vision, flashes of light, or sudden vision loss These symptoms, while uncommon, are not expected side effects and should not be managed at home

1 Surgical and medical menopause are sudden events and cause abrupt onset of symptoms of estrogen deficiency that can be more severe than symptoms of natural menopause

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