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During our evaluation, she reported that just before her flare, she noticed that her menstrual cycle was beginning to change, was becoming more painful and her provider suggested she start on oral contraceptive pills to reduce her menstrual pain , and was likely perimenopausal

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Ultra-processed foods: These nutritionally devoid foods can disrupt hunger cues since theyre often lacking in fiber and may dysregulate hunger hormones

I did this specifically so I could keep as great a number of ampoules in stock as possible at any one time, to give me a decent buffer time to sort out new supplies, if ever we can't get them by post as we do now