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Discuss your long-term plan with a qualified healthcare provider who can monitor your response and adjust dosing over time

If you notice significant disruptions, such as missed periods for several months or unusually heavy bleeding, its a good idea to speak with your healthcare provider

Even after the surgery, though, you need to be diligent with a maintenance program

That placebo effect is fairly typical, by the way, and often happens in trials: it's thought to be a combination of the psychological boost of thinking you're being treated, plus a tendency to live more healthily and carefully if you know you're part of a study

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