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Studies show that estrogen therapy during menopause can attenuate visceral fat gain by as much as 60%, improve insulin sensitivity, and even help increase lean muscle mass

However, prescriber criteria does not list prediabetes as an eligible comorbidity under 30+ bmi

and may use active pharmaceutical ingredients (APIs) from unregistered or foreign sources

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Interestingly, the medications that may be the most effective at achieving the desired outcome can be the ones that are more likely to cause adverse effects

Full marks for medication transparency