A fifty-one-year-old woman, E.P., presents to the family practice clinic with complaints of amenorrhea and hot flashes multiple times during the day disrupting her sleep at least ten times per night. She is uncomfortable and fatigued. During the visit, a Pap smear and mammogram are completed and are negative. Her FSH is 32 international units/ml. E.P. is 5’8” and weighs 130 pounds. She has no significant medical history and family reveals her mother has osteoporosis. Family history is negative…
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