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Only about 1 in 10 menopausal women on Medicare uses vaginal estrogen, even though it cuts recurrent UTIs by more than half. That gap isn't a patient failure; it's the legacy of a boxed warning that sat on this drug for more than 20 years, built on data from a trial that never studied it. Laura Trujillo at USA TODAY reported today that the FDA is exploring making some vaginal estrogen products available over the counter, possibly as soon as mid-2027. It isn't approved yet: the FDA still needs ev
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