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Non-hormonal measures : lubricants for intercourse-associated symptoms, moisturisers for baseline dryness (standard GSM care pathways)
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In the study by Romero-Gomez et al., 53% of patients with cirrhosis had covert encephalopathy, and 84% of patients who developed apparent encephalopathy during follow-up had covert encephalopathy initially
This allows your body time to acclimate to the new substance, which can help minimize the potential for side effects
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