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Jose Palmas 🌴

@josepalmtree

24 days ago
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Posted On: September 22nd 2026, 05:03 am
Heaven Knows 🌨

#54ultra #rain
Comments (4)
valeriagarciag3 23 days ago

valeriagarciag3

Heaven knows I miss youu

andr_ehh_a 24 days ago

andr_ehh_a

Come back 😭

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Use it or lose it When you don’t use vaginal estrogen consistently your microbiome will change and you will lose the uti prevention benefits If you treat urinary tract infections but have never prescribed vaginal estrogen to prevent them You are practicing against medical guidelines. American Urological Association Recurrent UTI guidelines Genitourinary syndrome of menopause guidelines. This prescription prevents Hospitalizations Sepsis Death Guidelines say to treat younger people as it’s not just about menopause! How to prescribe: Estradiol 10mcg vaginal inserts 2x per week Til death do you part Estradiol 0.01% cream 1g twice weekly rubbed into vaginal walls TIL death do you part Need free training? I got you! RachelRubinMD.com/education Read the new Guidelines here: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause USA TODAY article: https://www.usatoday.com/story/life/health-wellness/2026/09/22/menopause-uti-vaginal-estrogen-sepsis/91680008007/
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