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One option your clinician can walk you through is hormone therapy, as both progesterone and estrogen are helpful to many women in midlife with sleep issues

Another uncommon side effect is dysphagia (trouble swallowing) or a lump-in-throat sensation

The GP practice is making a decision based on what is easiest for the surgery, not what is best for the patient

They are the clinical anchor of a weight loss protocol

Many patients then receive maintenance injections about once a month (or in some cases every 2-3 months) to keep their vitamin B levels in the normal range

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