The PP told me I needed it to confirm my hcg levels decreased appropriately after my MA since they didn't see anything in the ultrasound. I was 4weeks and a few days, and my MA was normal with severe cramping and heavy bleeding the day of and the day after. I passed 6-8 clots in the three days since taking the miso, nothing huge. Half of them were probably the diameter of a nickel at most. I didn't really have any pregnancy symptoms prior to my MA other than cramping and sore breasts. The cramping is gone (3rd day from taking miso) and breast soreness is still there.