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For perimenopause specifically, hormonal fluctuation drives many of the most disruptive symptoms estrogen can spike and crash erratically, which is why some patients feel worse in early perimenopause than in full menopause

Vitamin B12 is an essential nutrient that supports red blood cell production, nerve function, and energy metabolism

This trial underscores the importance of viewing tirzepatide as a long-term treatment rather than a short-term intervention

During this exam, the doctor gently inserts a lubricated, gloved finger into the rectum to assess for any abnormalities, such as lumps or tenderness, which can indicate the presence of internal hemorrhoids

Geneva, Switzerland: World Health Organization