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In a large, randomized, placebo-controlled clinical trial, a generalized effect of estrogen therapy on blood pressure was not seen. Insert the tablet or the applicator into the vagina as far as it will comfortably go. These women should have their thyroid function monitored in order to maintain their free thyroid hormone levels in an acceptable range. Other binding proteins may be elevated in serum, for example, corticosteroid binding globulin CBG , sex hormone-binding globulin SHBG , leading to increased total circulating corticosteroids and sex steroids, respectively. You may need to stop using HRT about 4 to 6 weeks before the operation to reduce the risk of a blood clot.


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