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Alpha Lipoic Acid: This antioxidant helps neutralize free radicals, protecting the skin from damage

If nausea or reduced appetite develops after escalation, return to the previous tolerated dose and discuss next steps with your clinician

A May 2022 paper ( 5 ) followed up by testing the effectiveness of cervical epidural injections of local anesthetic with vs

Timing considerations If starting both HRT and peptides: Start HRT first (if using) Establish HRT dose over 1-2 months Add peptides once HRT stable Easier to assess effects If already on HRT: Add peptides to existing HRT Monitor symptoms May be able to reduce HRT doses eventually Work with prescribing physician Transitioning off HRT: Establish peptide protocol first Gradually reduce HRT Monitor symptoms carefully Not recommended to stop HRT abruptly Lifestyle optimization for perimenopause with peptides Peptides work best with solid fundamentals

Step 7: Dispose of the used syringe immediately in your sharps container