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Of course, she is one of those friends who didn't gain weight during menopause and continued to tell me to eat better, exercise more

doi: 10.1161/CIR.0000000000000664

A proper evaluation should include: Medical history review Lab testing (metabolic and hormonal markers) Discussion of expectations Avoid programs that skip clinical evaluation

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Damage to Patient Trust and Clinic Reputation Patient trust can be difficult to rebuild once it has been lost