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With hormone imbalances, it is important to look at the underlying causes the food we eat, the times we eat, the things we think about, chronic stress, sleep disorders, and our lifestyle choices

These medications are approved for long-term use

We additionally summarize the evidence by domain and certainty level in a structured Supplementary Table 6, explicitly separating relatively robust short-term metabolic evidence from more exploratory reproductive and periconception safety findings

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