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Call your doctor or seek urgent care if you experience: Confusion or disorientation Fainting or dizziness that doesnt go away when sitting A rapid heartbeat, especially while at rest Dry mouth, no tears, or no urine for over 8 hours Inability to keep fluids down due to vomiting or nausea These can be signs of moderate to severe dehydration, which may require IV fluids or other medical support

They do not fix poor sleep, emotional eating, stress patterns, or inactivity by themselves

The final stage of perimenopause ends once menstruation has stopped completely for twelve consecutive months, marking the official start of menopause

I thank God and the lady who wrote you that letter. Metoclopramide carries a warning that it can cause mental depression and suicidal ideation