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You can avoid serious side effects with careful monitoring

Possibly yes, especially in lab or hormone-related measures

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So I do wonder whether or not its enough to give people, Oh, youre off the hook for Alzheimers, as opposed to saying, There are actually behaviors and approaches like good sleep, like exercise, like avoiding ultra-processed foods and diet, which we actually have less evidence for than some of the other things, but still seem like the right thing to do based on what we know