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The most frequently reported shifts include delayed periods (by 37 days), reduced menstrual flow, lighter spotting instead of a full cycle, or skipped periods lasting one to two months

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While effective, misuse or prolonged use can cause side effects

Gastroparesis can interfere with normal digestion and cause nausea, vomiting (including vomiting of undigested food), abdominal pain, abdominal bloating, severe dehydration, a feeling of fullness after eating just a few bites, undigested food hardening and remaining in the stomach, acid reflux, changes in blood sugar levels, lack of appetite, weight loss, malnutrition, and a decreased quality of life, the lawsuit states