With data suggesting that menopause contributes to major cardiovascular, bone, and cognitive outcomes, what changes should internal medicine clinicians make in risk assessment, HRT counseling, and long‑term monitoring for midlife women?

This is an interesting question because there are no new data about menopause as a risk factor for CV, bone, or brain health. These BMJ guidelines are very helpful and reflect a new approach to the treatment of menopausal symptoms, which is hormone therapy first. My patients usually want to try alte...