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Cookie-cutter protocols ignoring these variables produce suboptimal outcomes, while thoughtful individualization maximizes benefits within each patient's physiologic capacity

Insurance coverage, where available, transforms the value equation

Acetylcholinesterase hyperactivity causes cognitive symptoms such as memory and learning disorders (92)

However, the average age of WHI enrollees was 63, many were more than 10 years past menopause, and a substantial proportion had pre-existing cardiovascular risk factors