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Before initiating any GLP-1 treatment during perimenopause, comprehensive medical evaluationincluding blood glucose, lipids, kidney function, and cardiovascular historyshould be conducted

doi: 10.1099/00222615-39-3-218 71 HardisonR

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Patients must be able to participate in digital consultations, adhere to prescribed dosing schedules, and engage with ongoing monitoring protocols

I have a glass or two of wine everyday and don't notice any bad effects