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Keep a menstrual diary recording the dates, duration, and heaviness of bleeding or spotting episodes, along with any associated symptoms such as cramping or mood changes

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In vivo studies have shown a protective effect when mesenchymal stromal cells engineered to produce GLP-1 were transplanted directly into brain ventricles 21 and the GLP-1 analog exenatide 22 in an ALS mouse model, however there are still limited studies investigating this in ALS

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To support neurological resilience and mental clarity while healing, neuro-support peptides such as Semax and Selank are commonly added