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It is isolated in the dihydrate form chemically known as (1S, 3S, 5S)-2-((2S)-2-amino-2-(3-hydroxyadamantan-1-yl) acetyl)-2-azabicyclo [3.1.0] hexane-3-carbonitrile hydrochloride dihydrate

You should contact your GP or healthcare provider if you experience: Prolonged amenorrhoea: Absence of periods for three or more consecutive cycles should be investigated, as this may indicate significant hormonal disruption or other gynaecological conditions

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