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It can cause a mental spiral if you are not proactive
As for your mom, there's a ton of supliments that can help if she doesn't want to go the RX route. I can't recall what they were but they worked well. My own experience was positive. Now post menopause I'm much more stable not going through the monthly hormone swings.
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Nammu
…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
Desiderata Max Ehrmann
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