Yes, and it may enhance your HRT outcomes
Therefore, reducing the dose or discontinuing the supplement may alleviate these symptoms
Relationship of Serum Trimethylamine N-Oxide (TMAO) Levels with early Atherosclerosis in Humans

Per the Ole website THIS is the list of ingredients, which is different than what Sephora has: Aqua/Water/Eau, Lactobacillus Ferment, 3-O-Ethyl Ascorbic Acid, Niacinamide, Hyaluronic Acid, Sodium Hyaluronate, Panthenol, Sodium Polyglutamate, Tocopherol, Glycerin, Citrus Aurantium Dulcis (orange) Peel Extract, Citrus Aurantium Dulcis (orange) Callus Culture Extract, Citrus Sinensis (orange) Fruit Extract, Citrus Aurantium Dulcis (orange) Fruit Extract, Citrus Aurantium Dulcis (orange) Oil, Hippophae Rhamnoides Extract, Lycium Barbarum Fruit Extract, Rosa Canina Fruit Extract, Citrus Limon (lemon) Fruit Extract, Gluconolactone, Lithothamnion Calcareum Extract, Helianthus Annuus (sunflower) Seed Oil, Chondrus Crispus (carrageenan) Extract, Leuconostoc/Radish Root Ferment Filtrate, Citric Acid, Sodium Riboflavin Phosphate, Sodium Tocopheryl Phosphate, Sodium Citrate, Potassium Hydroxide, Xanthan Gum, Sodium Benzoate, Calcium Gluconate, Triethylhexanoin, Polyglyceryl-3 Laurate, Acrylates/c10-30 Alkyl Acrylate Crosspolymer, Pentaerythrityl Tetra-di-t-butyl Hydroxyhydrocinnamate, Phenoxyethanol, Chlorphenesin, Triethyl Citrate, Limonene, Linalool, Citral
