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As a side note another Canadian doctor Dr. Mark Patry has just released his story of how he discovered a safe and effective solution to hot flashes of the perimenopause in a new book on Amazon [https://www.amazon.ca/Unravelling-Menopause-Mark-Patry-ebook/dp/B0CV97CBJ4/ref=sr_1_1?]. Not only do I recommend the book but I recommended the treatment. It worked for me!!!

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Oh Dr. Marian. I hadn't yet gotten to your own response to this--just in reading the "Menopause Society" (how utterly embarrassing--such a personal matter) recommendations, I noted right away that the treatment options which cost nothing were dismissed, and only those options from which some agency could make a buck were encouraged. ??? What a joke. My mother took HRE back in the early 70's. I have no idea why--we didn't discuss such things then--that I even know that she did is actually a bit surprising. I wouldn't have ever considered such drugs, and, to his credit, my physician, who had been caring for my health (I use those words judiciously) since I was 28 years old, never once suggested it. Perhaps because he had known me from before I was even a first-time mother. Grateful I am to have been under his care for 41 years; pity he decided to leave his practice five years ago, as he had told me that he intended to remain for quite some time more.

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