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Many individuals with MASLD will have cardiovascular risk factors, and these should be considered carefully as part of a shared discussion on initiation and continuation of HRT, especially where nonoral estrogen therapy is also considered as a lower risk option (151)

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Some patients may experience the following: Bloating Nausea Gastrointestinal Problems Diarrhea Dizziness Meet Louis DeGironemo M.D., D.C

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Most people experience sulfur burps for 3-8 weeks as their gut microbiota adjusts to slower gastric motility

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