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Continue sipping water throughout the morning, targeting 30-40 ounces by noon

But there may be positive effects as well

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A GLP-1 such as Wegovy or Zepbound can be a reasonable option, but being in perimenopause and already on an antidepressant or other psychiatric medication changes what we check before starting and what we monitor afterward

Rather than replacing the established therapies for HS, GLP-1 receptor agonists may function best as adjunctive tools