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That behavioral foundation appears to slow post-discontinuation regain relative to patients who relied on medication alone, though no head-to-head comparison of taper strategies by behavioral history exists yet

Rowlands et al., 2018

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We typically recommend a 24 week break after 812 weeks on for chronic protocols the necessity isn't fully established, but it's a sensible conservative approach for long-term use

Instead, they're bouncing around like ping-pong balls, and all that hormonal chaos triggers the classic perimenopause symptoms: irregular periods that show up whenever they feel like it, hot flashes that make you feel like you're spontaneously combusting, night sweats that turn your bed into a swamp, mood shifts worthy of an Oscar, sleep that becomes more elusive than a unicorn, and libido and arousal changes that nobody warned you about