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Some women find it's 24 hours after the injection, others closer to 48

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The SmPC recommends gradual dose titration to minimise these adverse effects, starting with 0.25 mg once weekly and increasing every 4 weeks to reach the maintenance dose of 2.4 mg

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As with radiation therapy for other types of cancer, there can be side effects including skin problems, fatigue, loss of hair and nausea

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