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Perimenopause Considerations As you approach menopause, typically beginning in your forties, fluctuating hormone levels create unique contraceptive challenges that require careful consideration: Cycle Changes: Your periods become unpredictable, making fertility awareness methods nearly impossible to use effectively since you can no longer predict ovulation timing

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This is a great dip to play with, to tweak it until it is exactly as you like it or just cook kind of free-form, adding tahini, lemon juice and garlic by feel rather than measuring

Among them are: Hypertension