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Gut and urogenital microbiomes influence menopausal hormone therapy outcomes

Nature Medicine, Published online: 13 November 2026; doi:10.1038/s41591-026-04789-6 A 6-month study shows that menopausal hormone therapy induces multi-site microbiome remodeling, including rejuvenation of the vaginal microbial community toward a reproductive-age-like state. In turn, baseline gut and vaginal community types affect the clinical response to therapy. Integrating clinical and gut…

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