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Meal size matters as much as meal composition

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What the study reinforces: There is no universal age limit for stopping MHT Starting HT later in life is riskier than earlier initiation Duration, age, and overall health matter a lot Ongoing reassessment is essential Non-hormonal options should always be part of the conversation There are also clear medical reasons not to use MHT, including: Personal (not familial) history of breast cancer (especially hormone-receptorpositive) Estrogen-dependent cancers (including endometrial cancer unless carefully cleared) Unexplained vaginal bleeding History of blood clots (DVT/PE) or known thrombophilia Prior stroke or heart attack Active liver disease Additional elevated-risk profiles include high cardiovascular risk, migraine with aura, obesity, and smoking

18 (58%) received a GLP-1 agonist preoperatively