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The most dramatic increase is in the perimenopause population: as of February 2026, 1 in 20 women aged 4554 has an active estrogen-based HRT prescription, a 184% increase across the study period

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Author contributions HZ: data curation, investigation, methodology, writing original draft, investigation

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It can cause severe birth defects and must never be taken by a woman who is pregnant or who is not using contraception

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