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Most Effects Are Smaller Than We Think

Photo: OliBac

I saw a patient the other week who complained of intolerable hot flashes for the last several months.  They were happening day and night, often awakening her from sleep, and after a series of questions, I realized they were significantly interfering with the quality of her life.  So I suggested she begin hormone-replacement therapy.

“What about the increased risk of breast cancer?” she asked, alarmed. Continue reading…