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Dopamine Agonists: If high prolactin levels (hyperprolactinemia) are the issue, medications such as bromocriptine or cabergoline can lower prolactin, often leading to the return of regular periods

From a health economics perspective, lifelong B12 supplementation should involve cost-effective delivery routes and tailored dosages to optimise clinical outcomes while minimising excess

Injectable GHK-Cu: Systemic and faster-acting in published case reports and user diaries, but requires sterile technique and ideally physician oversight

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