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Lillian is 50 years old. Her doctor has noticed a sharp decrease in her estrogen levels, and Lillian is complaining about nausea and fatigue. According to the symptoms given in the text, what could be her initial diagnosis?

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Lillian is 50 years old. Her doctor has noticed a sharp decrease in her estrogen levels, and Lillian is complaining about nausea and fatigue. According to the symptoms given in the text, what could be her initial diagnosis?

 
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