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Editorial
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Volume 346:1017-1018 March 28, 2002 Number 13
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Individualized Hormone-Replacement Therapy?

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 by Herrington, D. M.
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For many years, the conventional wisdom, backed by observational epidemiologic studies, has held that "replacement" of estrogen after menopause would restore the relative protection from cardiovascular disease enjoyed by premenopausal women as compared with men of a similar age. This view was bolstered by a number of apparently beneficial effects of oral estrogen therapy on risk factors for cardiovascular disease, most notably reductions in the level of low-density lipoprotein (LDL) cholesterol and increases in the level of high-density lipoprotein (HDL) cholesterol. Recent clinical trials, however, have failed to support a benefit of hormone-replacement therapy in terms of clinical events1 and . . . [Full Text of this Article]

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Related Letters:

Estrogen-Receptor Polymorphism and Hormone-Replacement Therapy
Garrido J. A., Grant E. C.G., Herrington D. M., Reboussin D. M.
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N Engl J Med 2002; 347:762-763, Sep 5, 2002. Correspondence

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