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With the hypothalamus suppressed, you may not produce enough estrogen to maintain a regular menstrual cycle

Aysola et al

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The team used the Kessler Psychological Distress Scale, a six-item self-report assessment where participants reported on a 5-point scale the degree to which they experienced feelings or emotions like nervous, hopeless or so depressed that nothing could cheer them up. Scores are developed by summing points for the six experiences

The 3mg level will likely feel underwhelming and lead you to use more pouches per session than you need which defeats the purpose