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Traditional education focused on hormones through the lens of fertility, pregnancy, and reproductive pathology. What came after was framed largely as symptom management, not as an integrated neuroendocrine, metabolic, and inflammatory transition. So when women ask about hormone testing in perimenopause or after menopause, the question often falls outside the original training framework. What’s changed is the science. Emerging data suggest that FSH is not just a marker of ovarian failure, but an
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