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Available in powder and caplet forms, Citrucel is generally well-tolerated and doesn't thicken as quickly as psyllium when mixed with water, making it easier to drink

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Before administration, these powders must be dissolved in a sterile diluentand bacteriostatic water is the preferred choice for medications requiring multi-dose vial stability

Iron deficiency is well-documented in this group, often from heavier or irregular cycles. Vitamin D deficiency has been described as ubiquitous, one study of nearly 300 perimenopausal and postmenopausal women found only 810% had optimal levels. Magnesium inadequacy is also common, and its linked to muscle cramps, poor sleep, and mood changes. B12 deficiency becomes more common with age and with reduced food intake. Heres what the combined deficit looks like in real life: Fatigue that doesnt lift with rest Hair shedding, especially around the temples and part line Brain fog and difficulty concentrating Low mood, anxiety, or emotional flatness Sleep thats broken or unrefreshing Cold hands and feet Weakness during workouts you used to handle easily These symptoms get attributed to perimenopause

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