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The medication is supposed to be the foundation that makes the nutritional changes sustainable

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GSM-directed therapy in peri/postmenopausal patients (or others with hypo-oestrogen states): NICE and UK resources support vaginal oestrogen as a local therapy for genitourinary symptoms of menopause, with patient counselling that systemic absorption is minimal and serious adverse effects are very rare

Many women who experienced decreased desire during the first few months report that their libido returns to baseline or even improves by the six-month mark, particularly if they have experienced significant weight loss and improved body image