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Your pharmacy can verify the vial's condition and issue a replacement if storage guidelines were followed correctly

Those are clinical risk correlates, not predictions for any individual patient

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Hormones may be important to address especially if you are going into perimenopause/menopause are post-menopausal, are breastfeeding, have been on oral contraceptive pills, or other medications related to altering hormonal status (such as medications used for breast cancer or endometriosis, etc.) and are experiencing these symptoms