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This short-term thinking makes it difficult to convince insurance companies to cover treatments like GLP-1 medications, even though they could reduce health care costs in the long run

93,94 In a randomized placebo-controlled trial that included 48 perimenopausal women, 250 mg fenugreek extract twice daily for 42 days reduced symptoms, especially hot flashes, night sweats, depression, and insomnia, and improved hormone balance by increasing E2, progesterone, and testosterone levels and decreasing levels of FSH and sex hormone binding globulin (SHBG) (a protein that binds estrogen and testosterone, making them unavailable)

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A dietician or doctor may be able to make meal plan suggestions to boost natural intake of L-arginine prior to taking supplements.

doi: 10.1111/j.1471-4159.2004.02914.x 107 ZhangLZhangWTianX