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Additionally, changes in insulin sensitivity associated with weight loss and improved glycaemic control can alter the hormonal milieu, particularly in women with insulin resistance

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95 Another randomized controlled trial that included 88 participants with moderate-to-severe menopausal symptoms found 1,000 mg fenugreek extract daily for 90 days improved hot flashes and other symptoms, as well as quality of life, and increased E2 levels compared with placebo

(PubMed) If past injections were from a licensed medical facility using pharmaceutical-grade product and you have no symptoms, discuss long-term plans with your doctor