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Outcome misclassification : patients may label vulvar skin laxity, pelvic floor weakness, bleeding changes, and libido/arousal effects under the umbrella of vaginal changes, requiring clearer phenotyping

This is where the protein ingredients and nutritional density become formulation drivers, not options

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However, persistent burning lasting more than 4 hours, spreading redness, warmth, or signs of infection warrant contacting your healthcare provider immediately