الصوت الساكن
Dr Alexandre Casco Pietsch
Reposição hormonal depois dos 60: a ciência é clara. ⚠️ ⠀ Estrogênio por via oral ou adesiva não deve ser iniciado após os 60 anos, salvo raríssimas exceções. ⠀ Os estudos mostram aumento de risco para: • AVC • Trombose • Câncer de mama • Doença cardíaca • Demência (quando iniciado tardiamente) ⠀ Essas evidências estão nos Critérios de Beers (AGS 2023), no estudo WHI e nas diretrizes da NAMS (Menopause Society). ⠀ Mas tem uma exceção importante: ⠀ ✅ Estrogênio vaginal em dose baixa pode se
تابع
28
2
11
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