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    <loc>https://www.vitalityclinic.ie/blog-1/Blog Post Title One-wx52y</loc>
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      <image:title>Vitality Clinic: Menopause &amp; Wellness</image:title>
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      <image:title>About - DR. Cassie McVeigh</image:title>
      <image:caption>Originally from Co. Fermanagh, I qualified from UCD as a doctor in 2007. Since completing specialist training in General Practice in 2013 I have been practicing as a GP in the Sligo &amp; Leitrim area. I have recently taken up a GP role in Keadue, Co. Roscommon. I have always had an interest in women’s health. Over recent years I have undergone additional training in the area of menopause management. I am a member of the British Menopause Society and an accredited menopause specialist. I think it is important to support and educate women about their menopause and how it affects their health and quality of life. With the right information, women can be empowered to manage their menopause effectively.</image:caption>
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    <loc>https://www.vitalityclinic.ie/information</loc>
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      <image:title>Menopause Information - What is the perimenopause?</image:title>
      <image:caption>The perimenopause defines the time from your first menopausal symptom to your last period. The perimenopause can start up to 10 years before your periods stop and as the symptoms are so variable it can be hard for the woman or her doctor to diagnose what is going on. For some women this time can be extremely difficult and frightening. It can put enormous stress on the women, their relationships and their  jobs amongst other things.</image:caption>
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      <image:title>Menopause Information - Symptoms of perimenopause &amp; Menopause</image:title>
      <image:caption>Symptoms can include some or all of the following: Heart palpitations Feeling tense or nervous Sleep disturbance Excitability Anxiety Poor concentration Fatigue/lack of energy Loss of interest in most things Low mood Crying Irritability Headaches Numbness in the hands Crawling sensations in the skin/muscle twitches Aches and pains Hot flushes Night sweats Loss of libido</image:caption>
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