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One option your clinician can walk you through is hormone therapy, as both progesterone and estrogen are helpful to many women in midlife with sleep issues

Larger doses of niacin tend to cause nausea and vomiting

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Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial