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Proper estrogen balance improves energy, mood, sleep quality, menstrual regularity, and long-term health outcomes

The risks of pharmaceutical compounding come down to these three things: it is unregulated, it is not required by the FDA to adhere to good manufacturing practice regulations (GMPR), and pharmacies are not required to report any adverse reactions to the FDA

Elderly patients, patients taking diuretics, and those who are volume-depleted may be at greater risk of developing hyponatremia with SSRIs [see Use in Specific Populations (8.5)]

However, there are also risks and potential side effects, including: Temporary urine retention Urinary tract infection (UTI) Dry orgasm Incontinence Erectile dysfunction In some cases, additional treatment may be needed after TUIP

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