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Bruce Ettinger and colleagues at the Kaiser Permanente Medical Care Program in Oakland CA. studied 138 postmenopausal women who were on the standard dose of HRT (0. 625mg) all of which had some monthly bleeding. Bleeding is the side effect most responsible for women discontinuing HRT. The women were switched to a half strength estrogen (0. 3mg) and a progestin used medameds viagra every six months. The women have been followed now for 6 months and they have experienced a decrease in the amount of bleeding and no worsening of menopausal symptoms. Previous studies have shown that the half strength estrogen confers the same protection from osteoporosis as the standard dose. This lower dose may also provide the same protection from heart disease (studies are invreased.

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