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Compared with no treatment, treatment with black cohosh extract, at a dose of 20 mg twice per day, for three months improved hot flashes, sleep, and irritability in a controlled study that included 163 women with menopausal symptoms
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Metformin) with diagnosis of type 2 diabetes Documented history of lifestyle intervention Quarterly clinical review to assess improvement (weight loss or A1C) Discontinuation if there is no measurable improvement after 6 months 3
Also, if you do decide to try a coffee enema then make sure you are doing it correctly
10.1016/S2213-8587(21)00179-0 60 NicholsG
It can also treat obstructive sleep apnea (OSA) in people with obesity
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