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C.J. is 52 years old, happily married, has two teenagers, and is a big-time TV executive. It was her annual check-up, and she was in her usual rush to get in and out. I’ve known C.J. for close to 25 years; she has been in menopause for three years and is on a low dose of hormone replacement therapy. Today, she was in a “mood”: she wanted more estrogen, while complaining about her job, husband, and kids. She also complained about the waiting room. I responded with, “It’s always nice seeing you, but maybe there is another solution for what is ailing you.” All her blood tests and her exam were normal. I made the offhand comment that maybe she had too much on her plate and needed a vacation. Then she complained about me. ...

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