* Among the many changes menopause brings women is that it is a time when a woman's risk of heart disease starts to increase. For several decades it was believed that post-menopausal estrogen replacement or estrogen with progestin would help protect women against heart disease. However, this is no longer the case since the Women's Health Initiative study found that estrogen with progestin actually increases heart disease risk and causes more risks than benefits.
* Long-term therapy can cause bone loss (osteoporosis) in women, who should take preventive calcium and vitamin D supplements.

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Care should be taken with regards to the hospitalization procedure. When possible, the patient's informed consent should be obtained and the patient encouraged to check him or herself in. Hospitalization is usually until the patient becomes fully stabilized and the therapeutic effects of an antidepressant begin to take hold (3 to 4 weeks).
Ms. Smith has type 2 diabetes, high blood pressure and depression. She takes three generic medications, namely metformin for her diabetes, enalapril for her high blood pressure, and paroxetine for her depression. She buys these drugs at her local Wal-Mart for a cost of $10.00 for a 90-day supply of each medication. Her annual cost is $120.00. The least expensive Medicare drug plan in her state has a premium of $15.00 per month for an annual cost of $180. A Part D plan may not make sense for Ms. Smith.

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