Hormonal Therapy

In addition to iron supplementation, hormonal therapy may be beneficial in patients with disseminated AVMs who have recurrent, transfusion requiring blood loss. Combination hormone therapy (estradiol 0.035 to 0.05 mg, norethisterone 1 mg) has been found to be highly effective in the prevention of rebleeding in patients with both suspected and verified AVMs and OGIB (Barkin and Ross, 1998). Treatment courses are recommended in six-month intervals to minimize side effects, including breast tenderness and vaginal bleeding in woman and gynecomastia and decreased libido in men.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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