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The Menopause Society (formerly NAMS) 2023 position statement states: "For women with an intact uterus, a progestogen is required to protect the endometrium." The full statement is at menopause.org

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GHK-Cu doesn't directly block DHT (that's finasteride's job), but there's evidence it downregulates androgen receptor expression in follicular cells, potentially blunting the follicle's sensitivity to DHT

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