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Openai/691c85a3-9588-8002-b8be-490af2c3e56c
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=== Assistant: Here’s a tight, myth-busting paragraph in your tone that addresses the “you lose estradiol and progesterone and will di… === Here’s a tight, myth-busting paragraph in your tone that addresses the “you lose estradiol and progesterone and will die early without HRT” claim, while bringing in the four SWAN estradiol trajectories clearly and cleanly: The idea that people with ageing ovaries “lose estradiol and progesterone” and therefore need HRT to avoid early death is a complete misunderstanding of ovarian ageing. During the menopause transition the ovaries change their behaviour, not simply “switch off”, and estradiol does not follow one universal decline. SWAN has already mapped four recognised estradiol trajectories – Rise–Early Decline, Rise–Late Decline, Flat, and Low–Slow – which means many people experience higher or variable estradiol before it settles after menopause day. Progesterone shifts first because ovulation becomes less frequent, but this pattern is irregular, not a simple drop. These hormonal changes do not indicate a failing system; they reflect the biology of ovarian ageing and the nervous system adjusting to change. HRT can be beneficial for many, but it is not a replacement for “lost hormones” and it is not required to prevent early death. It is one tool, used when appropriate, not a universal biological necessity.
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