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32-34 In a randomized placebo-controlled trial that included 112 symptomatic perimenopausal women, menopausal symptom scores as rated by the 44-point menopause rating scale (MRS) decreased by 14.6 points in those taking one 4 mg tablet of a standardized Siberian rhubarb daily for 12 weeks compared with a 3-point decrease in those taking placebo

Since starting treatment, the difference has been tremendous

its about recovering smarter

Starting conservatively and adjusting based on observed effects represents the most prudent approach given limited clinical guidance

It sounds simple enough

The 3 B were restarted (FA 5 mg daily) for Hcy which by then had reached 18 umol/L