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I usually start with progesterone first again, you cant safely be on estrogen alone and progesterone seems to kick in quickly, within the first few days
That said, you may need to exercise caution before surgery if you fall under specific criteria
While the medication is doing the heavy lifting for weight loss and metabolic health, psyllium can act as a supportive partner for your cardiovascular system
doi:10.1016/j.exger.2018.04.013
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