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Less natural lubrication is associated with several factors: Decreased vaginal blood flow Thinning of vaginal tissues Changes to the microbiome Inflammation One thing to note: You may hear vaginal dryness referred to by a few different names, including vaginal atrophy, vulvovaginal atrophy, atrophic vaginitis, and genitourinary syndrome of menopause (GSM)

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many patients stay longer if they need more time for side effects to settle or if progress is still steady

This is the form your skin naturally produces from sunlight and converts more efficiently than vitamin D2

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