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Fact: Although vaginal atrophy and its accompanying symptoms, such as dryness, irritation, and pain with sexual intercourse, are commonly experienced by postmenopausal women, there are numerous safe and effective therapies for relieving symptoms and improving sexual function after menopause

This mechanism may be attributed to the interference with copper ion transport leading to increased ROS levels, mitochondrial dysfunction and reduced ATP production, ultimately inhibiting Cu/Zn SOD1 activity (136)

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The broader implication is transformative

Read those as due-diligence items, not a verdict either way, and use the verification checklist above to close the gaps yourself