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Careful cardiovascular monitoring is advisable when both medications are used together

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Persistent or patchy baldness should always be assessed by a dermatologist or trichologist

That may sound strict, but it is practical: poor gut clearance impairs estrogen metabolism and can worsen symptoms even when hormones are replaced

those who responded that they did not know were counted as not having the condition

If experiencing significant vomiting or diarrhoea, oral rehydration solutions may help maintain electrolyte balance, but patients should seek medical advice if these symptoms persist