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(4, 38) The duration of perimenopause varies between women

Munne-Bosch and Penuelas 16 in strawberry, Ozkur et al

Individuals with diabetes should monitor blood sugar levels closely when starting shilajit, as it may affect glucose metabolism

That said, collaboration is wise: communicate with the patients PCP, dont usurp necessary medical workups (rule out endocrine causes, get baseline labs), and refer to specialists (endocrinology, cardiology) when appropriate

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I also feel like I stay full longer but this hasnt slowed my digestion to the point of discomfort, which my sister has experienced taking GLP injections