💉 “No estrogen ever” is NOT evidence-based medicine. If your doctor told you estrogen is off-limits forever because of clot risk… you’re only getting half the story. Here’s the truth backed by ACOG & the ESTHER study: 🚫 Oral estrogen → passes through the liver first → raises clot risk ✅ Transdermal estrogen (patch, gel, spray) → skips the liver → no increased clot risk, even in high-risk women And when progesterone is needed? ✔️ Natural micronized progesterone = no clot risk ❌ Synthetic proges
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💉 “No estrogen ever” is NOT evidence-based medicine. If your …
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