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Pros: Well-tolerated Generic and inexpensive Safe cardiovascular profile Cons: Dose restrictions for heart patients (max 20mg if over 60 or with certain heart conditions) Can affect heart rhythm at high doses Sexual side effects Typical dose: 10-40mg daily (lower for elderly or cardiac patients) Fluoxetine (Prozac): The Long-Acting One This works well for depression but has less specific cardiovascular outcome data

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This move was strategic: cut the price significantly (down to $349/month for maintenance doses) to increase patient volume, especially in the massive cash-pay segment

By restoring estrogen with HRT, you're essentially priming the system that GLP-1 medications are designed to enhance