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What Current Guidelines Say The Menopause Society (formerly NAMS) 2022 position statement states: "Hormone therapy is not recommended for women who smoke, unless they have severe menopausal symptoms that cannot be managed otherwise, and the transdermal route is strongly preferred over oral formulations when treatment is necessary in this population" [9]

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There is one other problem

Both COPD prevalence and COPD-related hospitalization rates varied widely among states

Lower back pain is extremely common, with about 80% of people experiencing it at some point in their lives