Two oral peptides approved to date, Rybelsus and Mycapssa, have been successfully converted to oral dosage forms using the PEs strategy , and research is underway for the development of oral dosage forms of many peptide drugs through a similar strategy
Those findings do not directly apply to the lower-dose transdermal estradiol plus micronized progesterone regimens that contemporary guidelines, including the Menopause Society's 2022 position statement, consider lower-risk for appropriate candidates
So, enthusiasm is up
It is injected subcutaneously (under the skin) once a week, on the same day each week
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Patients should pause further dose increases until symptoms have settled and discussed with their healthcare team