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Systemic estrogen (e.g., pill) is contraindicated, but low-dose vaginal estrogen may be considered in select cases Vaginal bleeding with an unknown cause Current blood clots Serious liver or gall bladder disease Current or past history of angina, heart attack, or other heart problems [16] If you have certain conditions, you should be careful with hormone therapy (speak to your doctor about treatment options and dosage): Migraine Diabetes with vascular effects History of blood clots Gall bladder disease History of endometrial cancer Lupus Dementia Asthma Epilepsy Porfyria Non-hormonal medication As an alternative to hormone therapy, there are several non-hormonal medications that can help address perimenopause symptoms

All medications are compounded to physician prescription regardless of presentation

A quick but important note: Always chat with your primary care physician before stopping any medications that have been medically prescribed for you

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Obesity pharmacotherapy is a rapidly moving field and further research on long-term clinical efficacy, safety and cost-effectiveness will inform better their place in the treatment algorithms for obesity and obesity-related complications over the next years

Preparation Is Key To ensure the best, safest, and most effective results from your injection therapy, please follow these essential steps: Schedule consistently : For optimal results, injections are typically recommended once per week to maintain nutrient levels