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A full medical history should be taken before commencement, but typically BHRT is not considered to be necessary for people under 30 years of age; those taking conventional HRT or contraceptive pills; those who are pregnant or breast feeding or wanting to become pregnant; those taking other medications such as blood thinners, anti-convulsion medication; those with diabetes, liver or heart problems; deep vein thrombosis or hormone dependent cancers. You must share any concerns about your medical situation with the clinician at your initial consultation.