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Oxidative stress occurs when reactive oxygen species exceed cell antioxidant capacity

Patients can book self-referral scans directly, or attend following a GP or consultant referral, ensuring flexible access to the services they need

I usually start with progesterone first again, you cant safely be on estrogen alone and progesterone seems to kick in quickly, within the first few days

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However, if you have a family history of gallstones, previous biliary symptoms, or other risk factors, a baseline ultrasound can be reasonable and would inform decisions later if symptoms develop