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The woman lost 50 pounds in nine months and eventually confided that she often took more medication than prescribed when she felt she ate too much. In the journal article, McElroy and her co-authors encouraged doctors to screen for eating disorders and monitor patients weight carefully, noting that patients like the one she described can suffer from atypical anorexia nervosa in which the symptoms of anorexia occur in people whose weight is above normal

I almost always start with a three month prescription for menopause hormone therapy and set up a check-in for 10 weeks or so, and then at that point provide a year of medication

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This potentially translates to higher bioavailability and quicker effects