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- W2012606730 abstract "To assess the effect of transdermal vs. oral administration of E2 on plasma homocysteine levels and to evaluate the impact of adding a progestogen to these regimens.Prospective, double-blind, double-dummy, placebo-controlled study.Outpatient clinics in two university hospitals and two teaching hospitals in The Netherlands.One hundred fifty-two healthy hysterectomized postmenopausal women.Thirteen 28-day treatment cycles with placebo (n = 49); transdermal 17beta-E2, 50 microg (n = 33), oral E2, 1 mg (n = 37), or oral E2, 1 mg, plus gestodene, 25 microg (n = 33), followed by four cycles of placebo in each group.Fasting plasma total homocysteine concentrations at baseline and cycle 4, 13, and 17.Mean (+/-SD) homocysteine concentrations in the oral E2 group decreased from baseline to cycle 4 (9.0 +/- 2.5 micromol/L vs. 8.2 +/- 2.0 micromol/L; mean change, -7.6%). Homocystine values in the oral E2 plus gestodene group did not change substantially from baseline to cycle 4 (8.9 +/- 1.6 micromol/L vs. 8.6 +/- 2.0 micromol/L; mean change, -4.4%). No significant changes were observed in the transdermal E2 group. After four washout cycles, the homocysteine concentration had returned to baseline values in all groups.Oral E2 therapy reduced the homocysteine concentration more than did therapy with transdermal E2 or oral E2 plus gestodene. This finding may indicate a role of liver metabolism and suggests that gestodene has a negative effect on these changes." @default.
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- W2012606730 date "2003-02-01" @default.
- W2012606730 modified "2023-09-27" @default.
- W2012606730 title "A randomized placebo-controlled study of the effect of transdermal vs. oral estradiol with or without gestodene on homocysteine levels" @default.
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- W2012606730 doi "https://doi.org/10.1016/s0015-0282(02)04661-7" @default.
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