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She was hospitalized or went to the emergency room for stomach issues on several occasions

The American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin on menopausal hormone therapy states: "Custom-compounded bioidentical hormones are not FDA-approved and carry the same risks as conventional hormone therapy, with the additional risk of variable potency" [11]

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The Fasting Requirement Rybelsus has to be taken first thing in the morning on a completely empty stomach, with no more than four ounces of plain water