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Postmenopausal osteoporosis (type I): After menopause, women experience a sudden drop in estrogen levels, a significant increase in osteoclast activity, accelerated bone resorption, insufficient osteoblast activity, and rapid loss of bone mass (30% -50% loss after 5-10 years of menopause), mainly in the lumbar spine and hip

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People without immunity may also transmit the disease to other unvaccinated individuals, perpetuating the cycle

Some countries require advance notification or special permits for importing controlled or prescription medications