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Initial Assessment: Physical exam: BMI 29, BP 132/82 mmHg, no signs of acute illness Labs: TSH within normal limits, fasting glucose 98 mg/dL, total cholesterol 208 mg/dL, FSH elevated, estradiol low Menopause Rating Scale: Severe vasomotor and psychological symptoms Clinical Decision-Making: Given Marias significant vasomotor symptoms and the absence of contraindications, her provider considers hormone replacement therapy for symptom relief and improved quality of life

Some patients find it helpful to schedule their injection on a day when they have fewer social or work commitments, allowing time to manage any symptoms comfortably

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Take four veggie capsules of each supplement daily, preferably with a meal and water or as directed

Many competitors take longer, sometimes requiring several stages of assessment or lab results before a prescription is issued

doi: 10.1111/add.16679