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Overview : Nausea is a common side effect, especially at higher doses

Never stop your medication without medical advice

A provider familiar with both medications and midlife hormonal health is the best resource

If anything feels confusing, it is wise to pause, ask support for clarification, and proceed only when the answers align with published policies

"I tend to use the topical prescription medications to improve the pigment back to baseline and then use over-the-counter products to maintain," says New York-based board-certified dermatologist Dhaval Bhanusali, MD

Diet high in processed foods, low in antioxidants