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Generic means using a different name for the same ingredients.

When estrogen is prescribed for a postmenopausal woman with a uterus, a progestin should also be initiated to reduce the risk of endometrial cancer.

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It is unknown whether this finding applies to younger postmenopausal women.

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An excellent site for more info is: Balance your hormones and not just the the obvious ones (estrogen, progesterone, testosterone) but your thyroid, adrenals, etc.

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If you are on little or no estrogen, and add progesterone (even the OTC kind), your estrogen level will drop quite a bit, and that can precipitate those migraines.

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The dose of this medicine will be different for different patients.