Medical management options for heavy menstrual bleeding, as recommended by NICE, include: Levonorgestrel intrauterine system (LNG-IUS) : Often first-line treatment, reducing menstrual blood loss by up to 95% within 12 months Tranexamic acid : An antifibrinolytic agent taken during menstruation to reduce blood loss by 40-50% (caution if you have a history of blood clots) Non-steroidal anti-inflammatory drugs (NSAIDs) : Such as mefenamic acid, which can reduce flow by 20-30% and help with associated pain (use with caution if you have gastrointestinal, renal or cardiovascular conditions) Combined hormonal contraception : Can regulate cycles and reduce bleeding in suitable candidates Oral progestogens : Taken cyclically or continuously, depending on individual circumstances If you currently use a copper intrauterine device (IUD), this can contribute to heavier periods, and switching to a levonorgestrel IUS might be beneficial

Liquid Form: L-carnitine liquid is absorbed quickly, making it perfect for pre-workout use
Small, lower-fat meals, fluids between meals, and over-the-counter fiber or laxatives for constipation can make day-to-day use easier
Reducing Glucagon Levels: It decreases the amount of glucose produced by the liver
By combining weight loss treatments with TRT, we ensure that your new physique is not only leaner but also stronger and more defined
Figure 8: Photograph of Professor Benjamin Moore as a young man, credit: Wellcome Library