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Other infrequent side effects are nasopharyngitis, headache, infections in urinary tract, upper respiratory tract, and increased pancreatic enzyme (amylase and lipase) levels [4951, 59]

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Fibroids are the leading indication for hysterectomy in the US, accounting for 39% of all hysterectomies each year, and while some are asymptomatic, symptoms include heavy and prolonged periods, difficulty with intercourse, bowel dysfunction, non-cyclic pelvic pain, low back pain, urinary frequency and urgency, and constipation

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