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Your clinician should talk you through potential next steps, which may be menopause care, joint evaluation, a gastrointestinal workup, physical therapy, or other forms of evidence-backed treatment

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So the practical takeaway is not “oral is better” or “SC is better.” It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change