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These include: Severe abdominal pain or cramping beyond typical menstrual discomfort Diarrhea lasting more than a few days Presence of blood or mucus in your stool Signs of dehydration, such as dizziness, dry mouth, or reduced urine output Unexplained weight loss or fatigue In such cases, a healthcare provider can help diagnose possible underlying conditions such as infections, inflammatory bowel disease, or gynecological issues like endometriosis

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The concentration you choose also affects how long the vial lasts