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Added ingredients: Some compounding pharmacies add extra ingredients, such as vitamin B12

As more patients started these therapies, more people also reported severe gastrointestinal symptoms, prompting closer scrutiny from clinicians, regulators, and plaintiffs attorneys

Each comes with its own dosing curve, and researchers who have worked through one titration protocol will find the structure familiar when they approach another

One recent study found that three 45-minute strength sessions a week reduced hot flashes and night sweats by almost 50% after just 15 weeks

CPS can help through medicines optimisation support, structured medication reviews and wider Clinical Pharmacist support

Taking a dose too early may slightly increase the risk of side effects such as nausea, vomiting, or abdominal discomfort, but is unlikely to affect the overall effectiveness of treatment