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Education and Nursing Considerations: Maria receives education on: Application of transdermal patches Potential side effects (skin irritation, breast tenderness, headache) Need for regular follow-up, mammograms, and cardiovascular monitoring Importance of reporting unusual symptoms (leg swelling, chest pain, jaundice) Lifestyle modifications: weight control, exercise, and a heart-healthy diet Follow-Up and Monitoring: 3-month follow-up: Marked reduction in hot flashes and night sweats

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When carefully implemented under dietetic supervision, this approach may help identify problematic foods whilst supporting weight management goals