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Compounding pharmacies expand this further with Bi-Est formulations (estriol and estradiol combinations), customizable progesterone preparations, and testosterone or DHEA additions when clinically indicated

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Although fetal risk has not been characterized completely, the administration of glucagon appears to be justified to decrease intestinal motility to help reduce procedure time and to aid in cannulation of the bile duct and sphincterotomy during therapeutic ERCP, which is performed because of the high risk of untreated maternal cholangitis