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This change in sulfide bond formation then causes protein misfolding.[ref] Mitochondrial dysfunction: Elevated homocysteine levels have been shown to cause mitochondrial dysfunction

While neither source links dehydration to vaginal dryness specifically, systemic dehydration can plausibly worsen mucosal dryness and irritation symptoms in susceptible individuals, particularly where baseline genitourinary syndrome of menopause or vulvar dermatoses exist

It also creates room for adjustment

Unless youre weak, in which case youll need to resort to surgery or medication

I pick up a mild, pleasant scent that disappears fairly quickly

This helps you discuss real differences with your doctor, such as dosing schedules, side effects, and approval reasons, rather than just repeating brand names you've seen