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Discrepancies in study selection were resolved by consensus

Chen XF, Li Z, Ping P, Dai JC, Zhang FB, Shang XJ

Perimenopause, from age 40 to 51 , brings declining oestrogen, increasing vaginal atrophy risk, and hormonal shifts that affect libido

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Across models spanning tendons, ligaments, muscle, bone and the GI (gastrointestinal) tract, the same core mechanisms appear repeatedly, which is either a sign of genuine pleiotropic biology or publication bias