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Switching to transdermal estrogen may be a better option for those on oral hormone replacement therapy to avoid absorption issues

Common side effects Headache Lightheadedness Drowsiness Constipation Diarrhea Fatigue Serious side effects Allergic reaction (hives, swelling, breathing difficulty) Blurred or temporary vision loss Increased risk of heart rhythm problems Serotonin syndrome (when combined with other serotonergic drugs): agitation, rapid heart rate, fever, tremor, seizures Abnormal heart rhythm (QT prolongation): chest pain, dizziness, fainting, especially with electrolyte imbalances Masked signs of bowel obstruction after surgery or chemotherapy Risk in phenylketonuria with ODTs (contains aspartame) Warnings and precautions Avoid if allergic to ondansetron or other 5-HT3 antagonists Do not combine with apomorphine (risk of severe hypotension) Discuss history of long QT syndrome, heart failure, slow heart rate, liver disease, or digestive blockage Review all prescription, OTC medications, and supplements for interactions Sources Ondansetron (Rx)

Where to Inject for Optimal Results The size of the needle is only one part of the equation

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Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION)

Stephanie for a conversation that starts in Morocco (food poisoning, a hospitalization, and a perimenopause wake-up call nobody saw coming) and ends with a clear-eyed framework for supporting your gut, your bones, your immune system, and your sleep through the hormonal chaos of midlife