Medications for weight loss during menopause

Menopause is a special period in a woman's life when her body begins to work in a new way. This is a period of farewell to biological youth, which sooner or later affects every representative of the fair sex. Unpleasant symptoms of menopause that haunt a woman at this time can significantly worsen the quality of life, but they can be effectively combated. For example, such a symptom as an increase in body weight and volume against the background of hormonal imbalance can be corrected by drugs for weight loss during menopause, the intake of which should ideally be combined with procedures for cleansing the gastrointestinal tract and excretory system from slags and toxins, certain physical activity and proper nutrition.

Why does weight increase during menopause and why is it dangerous?

Maintaining a normal weight during menopause is every woman's dream, because from the stories of older girlfriends they know how difficult it is to fight extra pounds during this period, quickly and reliably "settling" on the stomach and hips. And the statistics in this regard are cruel: more than 2/3 of women who have entered the menopause suffer from excess weight. Moreover, the increase in body weight can be both insignificant and significant (about 10-15 kilograms).

The reasons for weight gain can be varied, because at the age of 40-50, along with metabolic disorders in the body associated with hormonal imbalance, other changes in a woman's life occur. For example, physical activity noticeably decreases, rapid fatigue appears (as people say, the strength is no longer the same), but the level of anxiety and worry sharply increases, a woman is more susceptible to depression, nervous breakdowns, which are "accepted" to eat sweets.

Hormonal imbalances primarily affect the sexual sphere and metabolic processes. A decrease in sexual desire affects, in turn, the body's energy expenditure, with which excess calories are also lost. But energy expenditure during sexual intercourse is colossal, which in turn has a positive effect on a woman's figure.

As for metabolic processes, the situation is even more deplorable. By the age of 40-50, a huge amount of slag and toxic substances accumulate in the human body, negatively affecting the process of digestion of food and assimilation of nutrients. The stomach, liver, and intestines suffer from this especially. And then there is the hormonal imbalance "shamelessly" slowing down the already disturbed metabolism. The consequence of such an impact is the settling of calories in the form of fat on the stomach and sides of a woman.

It should be noted that not all mature women are spoiled by obesity, for some it even suits them. But the danger of weight gain is that with each extra kilogram the probability of developing cardiovascular pathologies, metabolic diseases, in particular diabetes, breast cancer and other diseases increases. Excess weight contributes to an increase in blood pressure and cholesterol levels in the blood, which is dangerous not only for health, but also for the life of a woman.

Fear of being overweight makes women do rash things, for example, prescribe various drugs for weight loss during menopause. Often these are uncertified pills from Thailand or other equally dubious drugs that have become widespread due to active advertising and paid reviews on the Internet. As a result, the weight not only does not decrease, but, on the contrary, begins to grow with renewed vigor.

Indications menopausal weight loss medications

Indications for the use of the above-mentioned drugs are not particularly diverse. These drugs are designed to combat various manifestations of menopause, which do not allow a woman to live a full life and work productively. Excess weight during menopause is just one of these symptoms that become irrelevant when the hormonal background is normalized.

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Release form

If weight gain is associated with a sedentary lifestyle and consumption of large amounts of fatty and floury foods, to normalize it, it is often enough to change your attitude to food and exercise, as the main "designers" of the figure. But if the cause of obesity is a deficiency or excess of certain hormones in the woman's body, then it is already difficult to get by with just fruits, herbs and sports. Yes, it is much more difficult to fight such kilograms, and often you cannot do without drugs for weight loss during menopause and various conditions accompanied by hormonal imbalance.

The names of various drugs used for weight loss during menopause are familiar to many women in connection with the treatment of other symptoms of menopause, such as hot flashes, menstrual irregularities, increased irritability, anxiety, sleep disorders, and others. All these symptoms, including the growth of fat, are associated with a disruption in the production of hormones in a woman's body during menopause. The task of these drugs is to remove unwanted symptoms by normalizing hormonal levels.

There are 2 types of drugs that help to correct the hormonal balance in the body during menopause: hormonal (containing synthetic hormones or cattle hormones) and non-hormonal (where the role of hormones is played by phytoestrogens or the relief of menopause symptoms occurs due to the inclusion of specific components). Both doctors and patients prefer the second group of drugs, which are safer in all respects. But hormonal drugs, if prescribed incorrectly, can themselves provoke a sharp increase in weight.

Natural herbal preparations that help combat the problem of excess weight during menopause include Remens, Klimaktoplan, Klimadinon, Klimaksan, Tsi-Klim, Estrovel, and Feminal. Among the popular hormonal drugs that should only be prescribed by a specialist doctor, but not by a friend or an advertisement on the Internet, we can highlight Ovestin, Femoston , Klimonorm, Angelique, as well as L-thyroxine, Iodthyrox, Thyroidin, etc.

The most common forms of drugs for weight loss during menopause are tablets and capsules. But it is also possible to use such forms of drugs as drops, patches and creams. Perhaps the effect of the latter will be noticeable so quickly, but the stomach will thank you for not rewarding it with an ulcer or gastritis.

As we can see, there is plenty to choose from. The difficulty is not in choosing the name of the drug, but in choosing a truly effective drug in each specific case. And this is often a trial and error method.

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Pharmacodynamics

Both hormonal and non-hormonal agents used during menopause for weight correction should first of all correct the hormonal background. In the case of non-hormonal agents, this is done by plants containing phytoestrogens, which, although not full-fledged substitutes for hormones, in particular estrogen, have an effect identical to human hormones. Such drugs do not contribute to weight gain, but, due to the beneficial properties of the components included in their composition, they normalize metabolic processes in the body, fat is burned faster and due to this, normalization of body weight is achieved.

Hormonal preparations are used if there is a significant hormone deficiency, and herbal preparations are no longer able to cope with the symptoms of menopause. By replenishing the body with the necessary hormones, the hormonal background is normalized, and with it the metabolism.

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Pharmacokinetics

The pharmacokinetics of most drugs for menopause cannot be studied due to the rich composition of dietary supplements and dosage forms.

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Dosing and administration

The main principle of taking any medication is not to harm your body. This applies to both medications and herbal complexes or biologically active additives (BAA) that are used for medicinal purposes.

Each dosage form is supplied with instructions or a detailed description of how to use it correctly to achieve a specific goal.

The first thing a middle-aged woman watching her figure should pay attention to is the method of application and dosage of drugs for weight loss during menopause, which are available in the description of each drug. But the majority of patients, looking through the instructions for a drug, pay attention only to this part of the information, without thinking about the fact that any drugs can also have certain side effects and contraindications for use, which must also be taken into account.

Let's make things easier for the fair sex and try to briefly describe this information regarding the mentioned weight loss drugs.

"Remens" is a homeopathic preparation with a rich herbal composition, also containing viper venom and cuttlefish gland secretion. It is available in the form of lozenges and drops.

It should be taken 1 tablet 3 times a day. It is best to do this half an hour before breakfast, lunch and dinner. It is also possible to take the tablets an hour after eating. The tablets do not need to be broken or chewed, just hold them in your mouth until completely dissolved. The drops should be dissolved in a small amount of water. The daily dose for three times a day is 30 drops.

For women in the climacteric period, there is only one contraindication to the use of this drug. This is hypersensitivity to one or more components of the drug.

"Klimaktoplan" is a homeopathic preparation with a somewhat similar composition, normalizing hormonal levels and positively influencing the metabolism in a woman's body. It is available in tablet form.

A single dose of the drug is 1-2 tablets. The drug should be taken 3 times a day. The method of administration is identical to the previous drug.

The drug has no other contraindications, except for hypersensitivity to the components included in the drug.

"Klimadinon" is a herbal preparation based on the extract of rhizomes of black cohosh, produced in the form of tablets and drops. By eliminating the main symptoms of menopause and normalizing the nervous and mental state of a woman, the preparation thereby prevents weight gain due to "eating away" stress and depression with various hearty delicacies.

A single dose of the drug is 1 tablet or 30 drops. It is recommended to take the medicine twice a day, for example, in the morning and in the evening. It is important that equal intervals of time pass between doses of the drug. The tablets do not need to be chewed or sucked. They are swallowed whole with a small amount of neutral liquid. The drops are also dissolved in a small amount of water.

Contraindications to the use of the drug are estrogen-dependent tumors, lactose intolerance, and, of course, hypersensitivity to the components of the drug. Under the supervision of a doctor, the drug is taken for epilepsy, injuries and various diseases of the brain, liver diseases.

"Klimaxan" is another homeopathic remedy with black cohosh, which normalizes the production of hormones in the female body during menopause. It is available in the form of lozenges.

The dosage and frequency of taking the drug are similar to "Klimadinon". Only homeopathic granules should not be swallowed, but kept in the mouth until they are completely dissolved.

You should not take this medicine if you are hypersensitive to any of its components.

"Tsi-Klim" is an analogue of "Klimadinon", and also contains extract of black cohosh. It helps to fight excess weight during menopause, regulating the production of hormones. It is available in the form of tablets and an external agent in the form of a cream. For the purpose of losing weight, it is recommended to use both forms of release, since the tablets help to normalize weight, and the cream is responsible for the elasticity of the skin, which can be disrupted due to a decrease in the fat layer.

To correct weight and reduce the intensity of other symptoms of menopause, it is recommended to take 1 tablet twice a day. It is better to combine taking the tablets with food. The cream is also applied to the skin 2 times a day.

Women of menopausal age are prohibited from taking the drug if they have hypersensitivity reactions to various components of the drug.

"Estrovel" is a natural drug with a complex composition, which many consider to be almost a panacea for various manifestations of menopause, including weight gain due to the growth of the fat layer. But again, everything is strictly individual. For some, the drug helps get rid of all the symptoms, while for another patient, even a headache does not go away.

It is recommended to take the drug (it is available in the form of regular tablets) 1 or 2 times a day. The daily dose will be 1-2 tablets. It is better to combine taking the tablets with food.

Contraindications to taking the drug are phenylketonuria (a pathological disorder of amino acid metabolism) and intolerance to the components of the drug.

"Feminal" is a homeopathic remedy based on red clover extract, which is also used by women as a weight loss drug during menopause due to phytoestrogens that normalize hormonal imbalance. It is available in the form of homeopathic capsules.

It is enough to take the drug for weight normalization once a day during meals. A single dose of the drug is 1 capsule.

You should not take the medicine if you experience reactions that indicate hypersensitivity to the components of the drug.

There are not many side effects of non-hormonal herbal preparations used for weight loss and improving the condition of women during menopause. Most often, it is limited to a slight allergy to one of the components of the preparations. Patients with gastritis and ulcerative diseases of the gastrointestinal tract may experience stomach pain.

Hormones for weight loss

Now let's talk about hormonal drugs. This is where caution will not hurt, because with the help of these drugs you can both lose extra pounds and gain them in greater quantities. In addition, a large number of contraindications and side effects of hormonal drugs used to relieve symptoms and lose weight during menopause makes their use possible only on the recommendation and under the supervision of a specialist doctor. Reviews from grateful patients are the last thing you need to pay attention to, since the prescription of these drugs is a purely individual matter.

"Ovestin" is a hormonal estrogen drug that normalizes hormonal balance by introducing the required dose of estriol into a woman's body. When prescribed correctly, it can cause weight loss, but if the dose is calculated incorrectly, the opposite effect is possible. It is available in the form of tablets, cream, and suppositories.

For weight loss, it is preferable to use tablets. The daily dose of the drug ranges from 4 to 8 mg. After a week, the dosage is gradually reduced.

"Femoston" is an anti-climacteric drug based on estradiol (an estrogen analogue) and dydrogesterone (an analogue of progesterone). It is used for hormonal imbalance during menopause to relieve unwanted symptoms, including weight correction. It is available in the form of 2 types of tablets with different ratios of estradiol to dydrogesterone (1:10 and 2:10). Each type of tablet comes in 2 colours in the package (white and grey in the first case or pink and yellow in the second). White and pink tablets contain only estradiol, grey and yellow tablets contain both components.

Both types of tablets are taken 1 tablet per day at any time of the day. It is important that the interval between doses is exactly 24 hours. In the first 2 weeks, patients take single-component tablets, and the following 14 days - two-component tablets.

"Klimonorm" is a drug that relieves menopause symptoms by normalizing the ratio of estrogen and progesterone (synthetic analogues - estradiol and levonorgestrel). It is produced in the form of dragees. Each package contains 2 types of dragees (9 pcs. one-component and 12 pcs. two-component). The course is 3 weeks.

First, single-component tablets are taken for 9 days, after which they switch to two-component tablets. The course is repeated after a week.

"Anzhelik" is a combined hormonal drug containing such analogues of female sex hormones as estradiol and drospirenone. It is available in the form of tablets of 1 type (1 pack - 28 pcs.). The course is 2 packages.

The drug should be taken 1 tablet at the same time of day, trying not to miss a dose.

If the above-described drugs contained analogues of sex hormones, due to which the hormonal background of a woman during menopause was normalized, then the next type of hormonal drugs is designed to improve metabolism by introducing thyroid hormones into the body.

Thyroid dysfunction in women aged 40-50 is quite common, but this is not a reason to prescribe the following hormonal drugs. They should be prescribed by a doctor, based on the degree of thyroid hormone deficiency.

"L-thyroxine" is a thyroid hormone preparation that helps improve metabolism and, accordingly, reduce weight. It is available in tablet form.

The daily dose of the drug, which is determined by the endocrinologist, is taken once. This should be done in the morning before eating, you can eat half an hour later. The tablets do not need to be chewed, they are swallowed whole and washed down with ½ glass of water.

The drug is not prescribed for thyrotoxicosis, acute stages of myocardial infarction or myocarditis, adrenal insufficiency and hypersensitivity to the drug. Side effects of this drug for weight loss during menopause are reduced to allergic reactions due to hypersensitivity to the components of the drug.

"Iodthyrox" is a hormonal drug with iodine, intended for the prevention and treatment of thyroid diseases. It is available in tablet form.

The method of administration and dosage of this drug, sometimes used for weight loss during menopause, are similar to the previous medicine. The dosage is again determined by the doctor. The initial daily (single) dose is half a tablet. The drug is taken in this dosage for 2 to 4 weeks, after which the dose is doubled. The duration of the treatment course is determined by the attending physician.

The drug, in addition to those described in the previous case, has the following contraindications for use: autonomous adenomas of the thyroid gland, Duhring's dermatitis hirpetiformis, iodine intolerance.

"Tireoidin" is a hormonal drug based on the thyroid hormones of cattle. It is available in tablet or powder form.

The method of administration and dosage of the drug is determined by the attending physician. The drug re is prescribed for thyrotoxicosis, diabetes mellitus, heart failure, Addison's pathology, severe exhaustion.

Under the influence of the last two drugs, sleep disturbances, increased heart rate, hyperhidrosis, and allergic reactions may be observed.

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How to deal with excess weight during menopause?

If a woman of menopausal age experiences significant weight gain leading to obesity, she can consult with her doctor about the possibility of using special non-hormonal drugs to treat this pathology.

"Reduxin" is intended for the treatment of excess weight in patients with a body mass index of 30 kg per 1 m2 ^aged up to 65 years with or without diabetes. Available in capsule form.

Useful properties of the drug: stimulates the rapid onset of a feeling of satiety and noticeably dulls the feeling of hunger, actively fights increased appetite, prevents overeating, accelerates metabolism and rapid fat burning.

The drug should be taken in the morning, regardless of food intake, without breaking the integrity of the capsules. The initial dose is 10 mg. If the drug is poorly tolerated by the body, it is possible to reduce the dose to 5 mg (open the capsule and divide its contents into 2 or 3 parts depending on the dosage).

Within a month, body weight should decrease by at least 5%. If this does not happen, the dose is increased to 15 mg. The duration of therapy is determined by the doctor.

Despite the effectiveness of this medicine, its prescription should be treated with great caution, since it has a fairly decent list of contraindications for use. This includes thyroid dysfunction with a deficiency or excess of hormones (hypothyroidism and thyrotoxicosis), and mental illnesses, some heart and vascular diseases, serious liver and kidney pathologies, glaucoma, femochromocytoma, any types of pathological addictions, etc., etc.

And there are more than enough side effects of this weight loss drug, including during menopause. Although they are usually mild. These are sleep disturbances, dry mouth, rapid pulse, headaches and dizziness, digestive disorders in the form of nausea and constipation, the appearance of signs of hemorrhoids, hyperhidrosis, decreased urine output, loss of appetite.

"Xenical" is a non-hormonal drug for the treatment and prevention of obesity with fewer contraindications. It is also available in capsule form.

A single dose of the drug is 1 capsule. The drug should be taken during each meal, except for snacks. The drug may not be taken if the meal does not contain fatty heavy food.

To achieve a good effect, taking the drug should be combined with a diet that reduces the consumption of fats and carbohydrates.

The drug is not prescribed for chronic intestinal absorption disorders, impaired bile flow into the duodenum (cholestasis), and if there is hypersensitivity to the drug.

Very often, taking the drug caused the following unpleasant effects: fleshy discharge from the anus, softening of the stool, increased gas production mixed with feces, frequent stools and the urge to defecate, abdominal discomfort, damage to the teeth and gums, infections of the upper respiratory and urinary tract, anxiety, etc.

"Orsothen" is an analogue of the drug "Xenical" with the same contraindications and features of use.

These drugs for weight loss during menopause can be used only on the advice of a doctor. If the weight has increased slightly, instead of benefit, they can only cause harm, provoking anorexia.

Diabetes and Weight Loss

Diabetes mellitus is not the rarest disease among middle-aged and older women. So, some of the patients suffering from this disease have found that the use of a specialized drug to regulate blood glucose levels has an additional effect in the form of a noticeable decrease in body weight.

We are talking about the drug "Metformin". Oddly enough, but when it is used for medicinal purposes, rapid and effective weight loss is noted. And even after the drug is discontinued, the weight does not return to high levels. And although "Metformin" is not a drug for weight loss during menopause, such interesting properties of the drug prompted women to think about using this drug for body shaping during menopause.

What is so remarkable about this drug? The thing is that it promotes the expenditure of energy, which was previously stored in the body as fat reserves because it was not needed. In addition, it helps reduce appetite, accelerates the oxidation of fatty acids, and regulates the absorption of carbohydrates in the gastrointestinal tract.

For weight loss, Metformin, also known as Glucophage, is used in a daily dosage of 1000-1500 mg (2-3 tablets). It is recommended not to increase the dose above 2000 mg, as is done in the treatment of diabetes.

The drug is available in the form of tablets that are swallowed without crushing, but only with a sufficient amount of water. It is advisable to take the drug with food, but you can do it immediately after eating.

Side effects of the drug most often affect the gastrointestinal tract. There may be bowel movements, loss of appetite, nausea, sometimes accompanied by vomiting, stomach pain, and a metallic taste in the mouth. All these symptoms do not require discontinuing the drug and usually pass quickly. But allergic reactions and lactic acidosis require consultation with a specialist about the possibility of further therapy with the drug.

Yes, no matter how good the drug is, but prescribing it to yourself or others on your own is a thankless task due to the large number of contraindications for use, which must be taken into account when prescribing. Here is just a small list of pathologies for which treatment with the drug is prohibited: various liver and kidney dysfunctions, severe infectious diseases, lactic acidosis, acute stages of cardiac and respiratory failure, heart attack, etc.

In any case, the use of various medications, regardless of the reason and purpose, should be carried out only after prior consultation with the attending physician, so that the expected benefit from taking the drug does not turn out to be immeasurably small compared to the harm caused to the body.

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How to avoid gaining weight during menopause?

Most doctors and their patients, when solving the issue of excess weight during menopause, are still inclined to think that there is no need to panic and immediately turn to hormonal drugs and medications for obesity and diabetes. If regular non-hormonal anti-climacteric pills and drops do not help, you should pay attention to interesting dietary supplements that promote weight loss, but are not declared as drugs for menopause.

Let's talk about biologically active additives from Germany (developed by the company Farmaplant) under the general name "Modelform". One of these biologically active additives "Modelform 40+" is designed for women of pre-menopausal and menopausal periods with their problems, one of which is weight gain at the age of over 40.

The drug promotes effective normalization of hormonal balance and weight, controls appetite, improves the condition of the gastrointestinal tract and has a general strengthening effect.

"Modelform 40+" is a complex multi-component herbal preparation, enhanced with herbs containing phytoestrogens, which makes its use very useful during menopause.

Let's see what unique composition the manufacturers of "Modalform" offer us, that their drug is so effective in the fight against excess weight during menopause. So, extracts of bitter orange, Japanese medlar, momordica charantia and forskolin are included in the composition of the drug precisely because of their positive effect on digestion and metabolism. It is thanks to them that the drug helps to reduce appetite and increases the rate of fat breakdown, preventing them from settling on the stomach and hips, as often happens during menopause.

The inclusion of psyllium in the composition of dietary fiber prolongs the feeling of satiety, and therefore helps to reduce the amount of food consumed. But the powder of pueraria in the composition of the drug for weight loss during menopause, thanks to the phytoestrogens included in it, is responsible for the normalization of the hormonal background, disturbed during menopause.

But weight loss is not the only positive effect of the drug "Modelform 40+". The rich composition of the drug (the individual action of each of the components plus the effect of their combined action) helps to increase activity and reduce fatigue in middle-aged women, regulate the work of the gastrointestinal tract, and the intestines in particular, help cleanse the body of harmful substances and toxins, and reduce blood sugar levels.

And the extract of pueraria, in addition, gives a woman strength, having a general strengthening effect on the body, has a positive effect on the reproductive organs, strengthens the cardiovascular system and normalizes the metabolism of lipids (fats produced by the liver or obtained from outside).

The drug is available in capsule form, which is best taken in the morning during meals or immediately after, with plenty of water. The daily dose of the drug is 1 capsule. For a course of treatment lasting 2 months, you will need 2 packages of the drug.

This biologically active supplement is very popular among women of different ages, which is based on the high effectiveness of the product in the fight for the beauty of the female figure.

Another nice thing about this drug is that it has virtually no contraindications for use and side effects, which is confirmed by numerous reviews. Allergic reactions can only be observed against the background of increased sensitivity to the components of the drug.

Almost all the remedies described in the article require a low-calorie diet or some restrictions in food. In addition, their effectiveness in terms of weight loss directly depends on the physical activity of the woman. Even with the strongest drugs, it is very difficult to lose weight if this process is slowed down by a sofa, a baked neck shiny with fat and a good piece of cake.

For those who are unable to withstand severe restrictions in food, we can recommend the "Calorie Blocker "Phase-2", which inhibits the absorption of complex carbohydrates by the body. But it is from them that we get the bulk of calories, which are then deposited in the form of fat reserves on the stomach and hips. The effect of this drug can be compared to the effect of the drug "Xenical", which does not allow fats to be absorbed in the body, removing them in almost their original form.

The drug is taken as a food supplement 3 times a day. Single dose - 2 tablets. For a course lasting 1 month, you will need 1.5 packages of calorie blocker. If the effect is weak, the course can be repeated.

Taking the drug, according to patient reviews, may be accompanied by bloating, diarrhea, false urge to defecate and fecal incontinence, but it allows you to practically not limit yourself in food.

And yet, before using this drug for easy weight loss during menopause, it is worth learning more about products based on bean extract that block the amylase enzyme responsible for the breakdown and absorption of carbohydrates, which includes this dietary supplement. After all, along with the advantages, they have many disadvantages, one of which is the disruption of food digestion and gastrointestinal pathologies.

Features of the use and storage of drugs for weight loss during menopause

As usual, when it comes to herbal preparations for weight loss during menopause with a minimum of side effects and contraindications, there is nothing to worry about. Such preparations, often not classified as medications, but as dietary supplements, are perfectly compatible with other drugs without affecting their effectiveness.

If we talk about hormonal agents or special drugs for the treatment of diabetes or obesity, then when prescribing them, the doctor must take into account the recommendations of other specialists regarding the use of drugs. After all, drug interaction with other drugs can not only reduce their effectiveness, but also negatively affect the patient's health, causing quite predictable reactions.

If we talk about the safety of the drugs themselves, then taking medications as prescribed by a doctor (in the right dosage and in a certain way) should reduce the negative impact on the body to a minimum. If the patient decides that increasing the dose will increase the speed of achieving the result or improve the result itself, then such experiments often lead to the phenomenon of drug overdose, and the consequences can be very different. So before you start taking any drug, carefully read the instructions, what results can be obtained if you increase the dose, causing an overdose, and then decide whether it is worth the risk.

With homeopathic preparations it is a little easier, but considering that they contain plants with phytoestrogens, you should not overdo it, at least to avoid the opposite effect.

When talking about the safety of various weight loss drugs during menopause, it is important to understand that their effectiveness and harmlessness are directly related to the storage conditions and expiration dates of these drugs and dietary supplements. It is definitely impossible to use various drugs with an expired shelf life. But there is a risk that the drug will lose its beneficial properties and become dangerous to health before the specified period. This happens if you do not adhere to the recommended storage conditions, and this information is on each package, and sometimes on the drug itself. Read the instructions carefully and be healthy!

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