Pregnancy concern. 4 weeks pregnant.

Patient : I'm 4 weeks pregnant I believe and I don't know if I tested too early or I miscarried as the dr told me I got 2 urine test positive my blood pregnancy level was 500. they took 2 ultrasounds a vaginal and a regular ultrasound and didn't see anything they said it might be too early. my last period was January 18th and I spotted on the 15th and 16th. I was experiencing cramps this week for about 4 days but they came off. my breast are very soar and I get nauseous here and there.
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