As part of a spectrum of disorders with varying degrees of severity, the perceived narrow margin for the diagnosis of SPIGFD can potentially restrict HCPs from giving consideration to less classic types of SPIGFD, including some autosomal dominant forms
Recommended frequency: 1-2 times per week for initial course (5-10 sessions), followed by maintenance protocol (once every two weeks)
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Wrong hormones The WHI used Premarin (conjugated equine estrogens from horse urine) plus Provera (synthetic progestin) not bioidentical hormones Wrong timing The average participant was 63 years old more than a decade past menopause
Nausea, vomiting, and diarrhea are particularly common when starting treatment or during dose increases, but these symptoms typically improve over time for most patients
Active chemotherapy or radiation: coordinate with your oncology team, as timing antioxidants around treatment is nuanced
