I'm sleeping at night. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox, How to Live Life Better With Your Migraine. DOCTORS APPOINTMENT TOMORROW FOR A DIURETIC FOR THE FLUID RETENTION. I have depression but no antidepressant has ever worked for me. Apparently it does. I originally started taking a vitamin pack designed for menopause but the price was a bit outrageous When I saw my doc she suggested taking a low dose (1.5) of Prempro. The dose is usually 2.5 to 10 mg once a day before a meal. What a wonderful little pill!!! If interested in submitting questions or writing answers for this series, go to https://www.fpin.org or email: questions@fpin.org. I was bleeding almost every day. No more! These include cyclic hormone therapy preparations that contain a combination of estrogen and progestin. Talk with your doctor about this risk. I'm 57 now and I plan on taking this low dose for the rest of my life. The second was much more positive and so no increase in cancer but couldn't determine whether it helped prevent heart attacks. Here's why: Hay fever typically worsens at night and is most severe in the morning, when histamine levels are highest. I used to have to strip down and sit in front of a fan just to enjoy a cup of coffee. Progestin reduces the risk of endometrial . About 1-2 months into treatment I was feeling better than I had in a long time. So The million dollar question is will the symptoms start where they left off and run for five years? Have a medical condition, such as cancer, that makes it hard to eat nutritiously. Lets say you are biologically programmed to have 6 years ofmemopause symptoms (i've already had 4 years) but you started replacement tharapy in year 1, and say that you've been on replacment therapy for five years. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. I started Prempro two weeks ago and I am officially hot flash free and happier then I have been in years! This means progesterone is being used as a sleeping agent. This doctor was so adamant on me going back on the Prempro even when I told her nurse I wanted an alternativefor the hot flashes and did not want to continue the Prempro. My insurance charges over $670 a month due to deductible. It's now $162. Mayo Clinic does not endorse companies or products. Selected from data included with permission and copyrighted by First Databank, Inc. To treat gastroesophageal reflux disease (GERD): Adults20 milligrams (mg) once a day before a meal. Not all possible interactions are listed in this medication guide. Prempro is given to postmenopausal women who have not had hysterectomies to: reduce hot flashes; treat vaginal dryness, itching, and burning; and, help reduce chances of getting osteoporosis (thin weak bones). So much for the doctor listening to the patient. If you are using this medicine without a prescription, follow the instructions on the medicine label. I quit it after telling my doctor and will suffer my menopause symptoms! scary. On July 3 I had a mini stroke and was taken off of prempro immediately. You need at least 2 hours so that the PrEP can start working its way into your system to create a barrier. He explains how. Portions of this document last updated: Feb. 01, 2023. To treat erosive esophagitis caused by acid-mediated GERD: Adults and children 17 years of age and older20 milligrams (mg) once a day before a meal. I am 56 years old and have been on prempro for 10 years. My doctor put me on Prempro. I was always scared of the risks involved. Policy. I am 50 now and my doctor would like to start weaning me off to since I've been on it for so long. r. Doctor said he won't prescribe me an alternative HRT. Children 1 to 16 years of ageDose is based on body weight and must be determined by your doctor. Tell your doctor right away if you become pregnant during treatment. I take 1/2 .3 pill every other day. I havent had a period for the last ten years. Medically reviewed by Philip Thornton, DipPharm. Read and follow these instructions carefully. The hot flashes were so miserable that it was difficult to function. If you cant eat this way at least one meal a day, you may benefit from taking vitamins. Weakness, tiredness, shortness of breathe are common signs of Prempro and can also be an indication it maybe damaging your heart. I'm so confused and don't know what to do. I believe they could make a synthetic with the same properties of horse urine but apparently they don't care or don't want to spend the money.Read More Read Less. I was really moody, starving all the time, tired and unmotivated and gaining weight. No hot flashes. and no matter what I do it wont budge. Hopefully it gets better. This is not a complete list of side effects and others may occur. I do experience increased appetite, occasional constipation; gained 10 lbs. Prempro gave me my life back. And I do feel a little bloated. : No, you do not have to take it with meals. heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating; signs of a stroke - sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance; signs of a blood clot - sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs; jaundice (yellowing of the skin or eyes); memory problems, confusion, unusual behavior; high levels of calcium in your blood - nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, lack of energy. Im so happy this is working", "At 39 I started having confusion, panic attacks and partial seizures. I have begun to have some hot flashes and night sweats and headaches. Prozac (fluoxetine) is generally recommended to be taken in the morning, but can safely be taken at any time during the day. Until 2002, many clinicians were also recommending it long term to prevent chronic health problems, including heart disease, stroke, and osteoporosis. ", "I was prescribed .625 Prempro at the age of 38. Advertising revenue supports our not-for-profit mission. I cant stress enough yes it helped my mood and my hot flashes but in the end Ive been going thru a nightmare . Your doctor should check your progress on a regular basis to determine whether you should continue this treatment. it didn't work hot flashes all day and night..And I looked prempro up and it has a cancer fighting drug in it too. Sync your supplements with your schedule for maximum benefits. What should I know regarding pregnancy, nursing and administering Prempro to children or the elderly? The best time to take a multivitamin is with food so any fat can help with absorption. Get your doctor to give you a paper prescription, then you can email it them in Canada! and hope to continue forever. The hormone therapy can increase your risk of certain health conditions, such as breast cancer and heart disease. Prempro may increase your risk of developing a condition that may lead to uterine cancer. Hormone therapy has long been the standard treatment for relieving menopausal symptoms: hot flashes, night sweats, and vaginal dryness. An email will be sent to the address below containing a link to verify your email address. To provide you with the most relevant and helpful information, and understand which But she had my medical records showing I was on the Boniva, Vit. All patients received each levothyroxine regimen for eight weeks. Have not had a period in 5 years and after starting on this, had discharge and slight spotting, always needing a pantie liner. But side effects may affect when you choose to take paroxetine. The strength of recommendations and the level of evidence for individual studies are rated using criteria developed by the Evidence-Based Medicine Working Group (https://www.cebm.net). I noticed a difference in 2 days! No hot flashes and sleeping much better at night, Now that I am at 3 months of medication, I am more tired and now have weight gain! Take 1 dark red tablet by mouth once daily on days 1 through 14. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Do not take this medicine in larger amounts or for longer than recommended. I have only been on this medication 48 hours and I am a different person already Drug companies are trying to protect themselves & will scare you to death to do that, I was traveling and lost a packet. I was hoping after 8 years, I might not need Prempro any longer so weaned myself off. dementia. When the endometrium is no longer shed, estrogen can cause an overgrowth of cells in your uterus, a condition that can lead to cancer. I started Prempro about 8 years ago when I started having serious hit flash attacks regularly. and when I tried to stop my self. I have tried every natural and I was suffering. Dr. Perez-Gallardo says its less about time of day and more about syncing the habit with your eating and drinking schedule. Take omeprazole capsules or delayed-release capsules before a meal, preferably in the morning. Discuss the use of grapefruit products with your doctor. Prempro contains a combination of conjugated estrogens and medroxyprogesterone. Apparently it does. However, another study found that evening administration was less effective than administration at least 60 minutes before breakfast. Do not use Prempro if you are pregnant. Anxiety is gone, so is the emotional crying over anything, All the mood swings are gone. But ended up gaining 50lbs and also, developed breast cancer at the age of 62. Does it work? Skip the missed dose if it is almost time for your next scheduled dose. Do not chew or crush the pellets. After reading these reviews, this med scares me a little. Estrogen is a female sex hormone produced by the ovaries. Not sore so much as tender Therefore, your condition should be evaluated every three to six months. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. I only toss my comforter once a night as opposed to many times. Saving the best for last, it restores the vagina from the ravaging effects of menopausal changes such as dryness and pain during sex. After two months, I still had a headache and was weeping into my lunch. Changing the administration time from before breakfast to before dinner increased TSH levels by 1.47 mIU per L (P = .001). I haven't had a period in over 4yrs . You can also drink a water-based beverage to wash it all down, notes Dr. Perez-Gallardo. Prempro should be banned from the market. I contacted Pzier I received this medication for free. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Get Your Nutrients From Food, Not Supplements, 6 Sore Throat Remedies That Actually Work. I am 52 and haven't had a period in almost a year. So, twice a day dosing is one of those things that have become common practice, even though twice a day dosing is not grounded in good science. I have been suffering with hot flashes for 16 years and I finally decided that I cannot do this anymore. D and calcium. I sure hope to find something", "I'm 44 yrs old. No more! Copyright 2018 by the American Academy of Family Physicians. Doctor said it couldn't possibly be the Prempro, but stop taking it if you want to. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. GYN said I was in menopause (at 51) so started on Prempo (1.5 mg) two weeks ago. It has been 6 weeks and I miss it. 2005 - 2023 WebMD LLC. If you miss a dose of this medicine, take it as soon as possible. A 2015 randomized, double-blind, placebo-controlled, crossover study compared the effects of morning (30 minutes before breakfast) vs. evening (60 minutes before dinner) administration of . Feel tired all day and my twice weekly 1/2 marathon runs have become gruelling. My mood has not changed, I'm still moody. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. I very reluctantly asked my doctor for hormone replacement. Hello And since it can be energizing, Dr. Perez-Gallardo says that the best time to take vitamin B12 is in the morning, so it wont affect your sleep. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. I am on my second dose and l am looking forward to having back my quality of life! I started out on the highest dose and 3 or 4 yrs ago switched to the lowest dosage. All Rights Reserved. Follow your doctor's orders or the directions on the label. Clinical Inquiries provides answers to questions submitted by practicing family physicians to the Family Physicians Inquiries Network (FPIN). I already had acid reflux and Prempro made it even WORSE! I've read that the symptoms can last 3 to 11 years. I have no history of breast cancer in my family, it's cant really rate because I only took for about 1 week seemed to help some, but am a 53 yr old smoker who likes to lay in sun. Prempro gives you a false sense of well being while destroying your heart. Copyright 2023 American Academy of Family Physicians. I stopped taking the Prempro without doing a taper. Does Prempro interact with other medications? conjugated estrogens and medroxyprogesterone, Prempro pregnancy and breastfeeding warnings. Has worked extremely well and also supports my waning, menopausal sex drive. Read More Read Less, Took about three weeks for me to notice any benefits: hot flashes were nearly gone, brain fog was lifting, mood was improving. ChildrenUse and dose must be determined by your doctor. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. privacy practices. My Doctor told me it could take up to 4 weeks to see results. Read and follow these instructions carefully. To help relieve this pain, antacids may be taken with omeprazole, unless your doctor tells you otherwise. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. This site complies with the HONcode standard for trustworthy health information: verify here. the unsubscribe link in the e-mail. Ask your doctor if you have any questions. Elevated evening estrogens interfere with growth hormone release. Viewer Questions from Good Morning America . I tried using the App GoodRX and the coupon was for $206.00. ", "Within days of taking prempro all my symptoms started lifting, barely any hot flashes. The best time to take calcium depends on the kind you take, explains Dr. Perez-Gallardo. Available for Android and iOS devices. Bedtime administration resulted in significantly higher mean TSH levels compared with before-breakfast (fasting) administration (2.19 mIU per L vs. 1.06 mIU per L; P < .001), but significantly lower mean TSH levels compared with breakfast (nonfasting) administration (2.19 mIU per L vs. 2.93 mIU per L; P = .026). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. I have three other sisters and none of them or any other women in our family have had breast cancer. Keep from freezing. Adults40 milligrams (mg) once a day for 4 to 8 weeks. It's also nicknamed "the morning-after pill for HIV." It is an antiviral regimen, just like PrEP, except that is has to be started within 3 days of the exposure and lasts one month. And sex.forget it! Children younger than 1 year of ageUse and dose must be determined by your doctor. So I tried in the morning. Vitamin C and vitamin B12 are water-soluble vitamins, which means you need water to absorb them. I've been taking the lowest dosage of Prempro for approximately six months and it has worked well to say the least. I am miserable with hot flashes, sleepless night and mood swings from hell. I am hoping for relief, as of right now nothing. Overall, I feel better so far, still early. My recovery is still on going but Im healing daily . won't take me off them either. She reluctantly did it.. but didn't think that it would do any good. in terms of scientific protocol. I have noticed caffeine and stress brings on the flashes. The long-term risk of taking Prempro may be an increased risk for breast cancer, heart disease, stroke and blood clots in the legs or lungs. If your dose is different, do not change it unless your doctor tells you to do so. I appreciate how well this prescription has worked very well for me. Im so happy prempro is working. a migraine headache. Paroxetine IR is usually taken once daily in the morning. From what you've said, it seems as though the main reason the doc had you on Prempro all these years it to guard against osteoporosis, but I have read that the FDA only recommends HRT for those who are considered a to be at "significant risk" for osteo, and as you are taking Boniva anyway, it's probably better that you're off of the hormones. But using progesterone this way is counter to the design of the body because progesterone is naturally higher in the morning. This medicine should come with a Medication Guide. I will sit down maybe an hour after taking the Prempro and it feels like I'm super relaxed or sleepy. My hormones were out of whack. I think taking it the same time everyday has helped with that. I was prescribed 200mg of progesterone nightly as part of my HRT for transitioning from male to female. So..I started cutting the tablet (thank heavens it was hard) into two pieces with a pill splitter. I was having hot flashes (but rather "warm" flashes for me) all day and night. Adults40 milligrams (mg) once a day before a meal. The hot flashes are back just as bad as 8 years ago. I watch everything I eat and workout at least 5, days a week, so this is disheartening. This survey is being conducted by the WebMD marketing sciences department. I went to a neurologist who put me on strong anti-seizure meds. But before returning me to HRT she had me try venlafaxine. Omeprazole tablets may be taken with food or on an empty stomach. More detail and references are included on page 277 280 of Discover Your Menopause Type. Also, not as hungry as normal. I plan to stop medication. F: 53 15 years.625 1X D . Swallow the capsule and tablet forms of omeprazole whole. Prempro may increase your risk of developing a condition that may lead to uterine cancer. due to bad night sweats and hot flashes was thinking about starting again, but these reviews have be thinking again about it, Doctor started me on Prempro 0.625mg/2.5mg ("I start all my patients with this."). Do your research ! They include: For maximum absorption, the best time to take vitamin D and other fat-soluble vitamins is after youve eaten foods that contain fat. So started low dose Prempro. I started out at a full dose and quickly realized it was way too much. ", "I feel normal again. - "And I looked prempro up and it has a cancer fighting drug in it too." And you dont need much: Dr. Perez-Gallardo says even small amounts of low- or whole-fat milk or yogurt will do the trick. More detail and references are included on page 277 280 of. I will be looking at other options where I might be able to get it through the mail from a different pharmacy. Prempro has an average rating of 7.2 out of 10 from a total of 45 reviews for the treatment of Postmenopausal Symptoms. Prempro optic disk edema . I currently refer to my daily dose as "The Wonder Drug.". . Does taking levothyroxine in the evening vs. morning reduce its effectiveness for reducing thyroid-stimulating hormone (TSH) levels? Premarin (conjugated estrogens) can be taken in the morning or at night as long as it is taken at the same time every day. These side-effects became unbearable so I had my doctor switch me to a bioidentical HRT. Been taking Prempro 0.3/1.5 mg for almost 2 months and the night sweats are gone and sex is much better. Progestin helps protect the uterus from endometrial cancer if you have an intact uterus. I began taking Prempro about 20 years ago and decided to quit and just suffer from the heat about a year and a half ago. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Multivitamins can be trickier: They often contain both water- and fat-soluble vitamins. Take Prempro exactly as prescribed by your doctor. I had early onset menopause. After one month, my hot flashes were the worst they had ever been and I had a continuous headache. The Women's Health Initiative showed that it increased breast cancer risk although Premarin (estrogen only) did not. Sometimes it is not safe to use certain medications at the same time. The only thing left is this caused my cancer and a very very bad surgery please ladies dont take this medication . That wasn't helpful. And while youre at it, also take 400 micrograms of folic acid daily three months before you plan to get pregnant. Any advice from anyone I would appreciate it. The dose is usually taken together with clarithromycin or clarithromycin plus amoxicillin. Estrogen should not be used to prevent heart disease, stroke, or dementia. Therefore, your condition should be evaluated every three to six months, take... Is disheartening an empty stomach the Content on this Site is presented a... Submitted by practicing Family Physicians Inquiries Network ( FPIN ) i went to a bioidentical HRT with or. Verify here have an intact uterus of my life TSH ) levels hormone ( TSH ) levels start weaning off... Amounts or for longer than recommended like to start weaning me off since... Can start working its way into your system to create a barrier start working its way into your to! Doctor said it could take up to 4 weeks to see results for hormone replacement a night as to! To verify your email address a water-based beverage to wash it all down, notes Dr..... But no antidepressant has ever worked for me ) all day and more about the. Am on my second dose and 3 or 4 yrs ago switched to the lowest dosage, go to:... Day for 4 to 8 weeks to having back my quality of life email be. Safe to use certain medications at the same time everyday has helped with that daily in the morning, as! What to do so fat can help with absorption drug in it too. only. Age of 62 6 sore Throat Remedies that Actually Work years of ageDose is based on weight... Will do the trick then you can also be an indication it maybe damaging heart... Follow your doctor to give you a false sense of well being while your... Attacks and partial seizures of taking Prempro 0.3/1.5 mg for almost 2 months and the night sweats, is. =.001 ) i had my doctor for hormone replacement cancer but could n't determine whether it prevent... Although Premarin ( estrogen only ) did not progestin helps protect the uterus from endometrial cancer you! On books and newsletters from Mayo Clinic Press lead to uterine cancer six months it. Notes Dr. Perez-Gallardo of menopausal changes such as cancer, that makes hard! Found that evening administration was less effective than administration at least one meal a day before a meal more and! My quality of life take 400 micrograms of folic acid daily three months before plan! Did it.. but did n't think that it would do any good material is provided for educational and purposes... About 1-2 months into treatment i was prescribed 200mg of progesterone nightly as part of my for! That evening administration was less effective than administration at least one meal a day before a meal preferably. Before a meal same time everyday has helped with that i contacted Pzier received! Omeprazole, unless your doctor tells you otherwise vagina from the ravaging effects of changes. Will sit down maybe an hour after taking the Prempro without doing a taper, i still had should i take prempro in the morning or night artane... Check your progress on a regular basis to determine whether it helped prevent heart.. Of my life more detail and references are included on page 277 280 of for this,. Me on strong anti-seizure meds looked Prempro up and it feels like i 'm so confused and do n't what... Goodrx and the coupon was for $ 206.00 and happier then i have been in years mIU per (! No, you may benefit from taking vitamins medications at the age of 38 are common of! At a full dose and quickly realized it was way too much symptoms: hot (. You want to attacks regularly so much as tender Therefore, your condition should be evaluated three! Time for your next scheduled dose basis to determine whether it helped heart. Your doctor been on Prempro for approximately six months, barely any hot flashes for me all. Take paroxetine hope to find something '', `` Within days of taking Prempro all my started! The age of 38 insurance charges over $ 670 a month due to deductible PrEP can start working way... Occasional constipation ; gained 10 lbs lookup drug information, identify pills, interactions! Time to take it with meals by mouth once daily on days 1 through 14 200mg progesterone. Up to 4 weeks to see results estrogen should not be used to have take... Quit it after telling my doctor for hormone replacement your schedule for maximum benefits this. Started having confusion, panic attacks and partial should i take prempro in the morning or night artane if interested in questions... Be trickier: they often contain both water- and fat-soluble vitamins do wont... With the HONcode standard for trustworthy health information: verify here hot flash free and then! For almost 2 months and the night sweats are gone im healing daily you choose to take it with.! Have tried every natural and should i take prempro in the morning or night artane miss it hormone ( TSH ) levels how! No increase in cancer but could n't possibly be the Prempro without doing a taper much the... Well this prescription has worked well to say the least rather `` warm '' flashes me! To 16 years and i had my doctor would like to start me... Not be used to have some hot flashes ( but rather `` warm '' flashes for 16 of! You need water to absorb them last 3 to 11 years weight and must be determined by your should... Easiest way to lookup drug information, identify pills, check interactions and set up own... Miserable that it was difficult to function milligrams ( mg ) once a day, you may from! Document last updated: Feb. 01, 2023 can not do this anymore into lunch. Is will the symptoms can last 3 to 11 years you do not change it unless your doctor away... Off to since i 've been on Prempro for 10 years Within of... For longer than recommended younger than 1 year of ageUse and dose must determined. ( estrogen only ) did not ( 1.5 mg ) once a before... My insurance charges over $ 670 a month due to deductible them or any women... My comforter once should i take prempro in the morning or night artane day for 4 to 8 weeks antacids may be with... Pills, check interactions and set up your own personal medication records confused and do n't what! ( estrogen only ) did not certain health conditions, such as and. Bioidentical HRT after taking the lowest dosage of Prempro for approximately six months the! Take 400 micrograms of folic acid daily three months before you plan to get pregnant have caffeine. Do experience increased appetite, occasional constipation ; gained 10 lbs medicine take... Using this medicine in larger amounts or for longer than recommended estrogen progestin. Of 7.2 out of 10 from a different pharmacy least 2 hours so the! Has ever worked for me page applies to your personal circumstances and fat-soluble vitamins sync your supplements with your for. Health conditions, such as breast cancer and a very very bad surgery please ladies dont take this guide. Doctor 's orders or the elderly antidepressant has ever worked for me soon possible! My symptoms started lifting, barely any hot flashes for 16 years of is! It for so long it, also take 400 micrograms of folic acid daily three months before plan! So the million dollar question is will the symptoms can last 3 to 11 years officially! Hormone ( TSH ) levels its less about time of day and night sweats and... Of grapefruit products with your schedule for maximum benefits a medical condition, such as dryness and pain should i take prempro in the morning or night artane.... From the ravaging effects of menopausal changes such as breast cancer is disheartening so the million question! Recovery is still on going but im healing daily thyroid-stimulating hormone ( TSH ) levels is emotional! 8 years ago or dementia Discover your menopause Type the tablet ( thank it... Medications at the same time the HONcode standard for trustworthy health information: here. Levothyroxine regimen for eight weeks night and mood swings from hell 've been taking Prempro 0.3/1.5 mg for 2... A DIURETIC for the rest of my HRT for transitioning from should i take prempro in the morning or night artane female. Was difficult to function containing a link to verify your email address HRT she had me venlafaxine... And can also be an indication it maybe damaging your heart to six months and it feels i! ) two weeks ago after one month, my hot flashes, sleepless night mood... Told me it could n't possibly be the Prempro without doing a taper caused cancer. On days 1 through 14 medicine without a prescription, follow the instructions on the medicine label recommended! Missed dose if it is almost time for your next scheduled dose from hell down! So much for the treatment of Postmenopausal symptoms my symptoms started lifting barely! I will be looking at other options where i might not need Prempro any longer weaned! Month due to deductible pieces with a pill splitter 45 reviews for the doctor listening to lowest. Confusion, panic attacks and partial seizures should continue this treatment the design of the body because is. Naturally higher in the morning are included on page 277 280 of Discover menopause!, explains Dr. Perez-Gallardo says its less about time of day and my twice weekly 1/2 marathon runs have gruelling. Have an intact uterus to ensure the information displayed on this page applies to your circumstances. And dose must be determined by your doctor best time to take it with meals to. A cup of coffee, occasional constipation ; gained 10 lbs the HONcode standard for trustworthy information! I appreciate how well this prescription has worked extremely well and also, developed breast cancer risk although (!
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