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The patient is a 36-year-old woman who presented with irregular periods and weight gain over the past 2-3 months. Her medical history is significant for depression treated with Cymbalta. She has had 3 C-sections and a tubal ligation. Lab work and an ultrasound were ordered at her previous visit. She is following up today to review those results and further evaluate her menstrual irregularities and weight gain.

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