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Start by using a makeup remover or cleansing balm to dissolve foundation, sunscreen, dust and pollution

In some cases, splitting activities or meals differently throughout the week can help manage these fluctuations

A 0.5 mg starting dose would be 20 units

Sordo L, Du A, Sandadi V et al (2025) Leptin levels are associated with body mass index and Alzheimers disease in Down syndrome

Peptides in Perimenopause: A Physician's Cautiously Curious Perspective Written and edited by Sarah Bonza MD, MPH, FAAFP, MSCP, DipABLM, NBC-HWC As a board-certified family physician and Menopause Society Certified Practitioner, I've built my practice on evidence-based medicine