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Understand the connection & get expert advice for managing respiratory health during menopause.",null,{"items":737},[738,744,750],{"sys":739,"title":741,"pageTitle":742,"slug":743},{"id":740},"3vG8GvdYje56iMf9o2oZ6l","Allergies","Menopause & Allergies","allergies",{"sys":745,"title":747,"pageTitle":748,"slug":749},{"id":746},"3RIjyUtkDOdFXVsPsAxVUR","Prevention","Preventive Health for Menopause","prevention",{"sys":751,"title":753,"pageTitle":754,"slug":755},{"id":752},"7nlD8ko6PfNfHW8drgZxpJ","Estrogen","Estrogen Therapy for Menopause","estrogen",{"symptomName":735,"pageForV2":725,"name":757,"itemsCollection":758}," Frequently Asked Questions (FAQs) About Asthma and Menopause",{"items":759},[760,773,786,799,812,825],{"content":761,"entryTitle":772,"title":772},{"json":762},{"nodeType":468,"data":763,"content":764},{},[765],{"nodeType":408,"data":766,"content":767},{},[768],{"nodeType":407,"value":769,"marks":770,"data":771},"Mild shortness of breath during menopause may be related to hormonal changes that affect lung function, but persistent symptoms, such as wheezing, chest tightness, or nighttime coughing, may suggest asthma.\n\nMenopause-related breathlessness often occurs alongside other common symptoms, such as hot flashes, night sweats, or mood changes, that may come and go unpredictably. In contrast, asthma symptoms tend to follow a more consistent pattern. A doctor can help determine the underlying cause of respiratory symptoms through evaluation and testing, if needed.",[],{},"How can I tell if shortness of breath is menopause or asthma?",{"content":774,"entryTitle":785,"title":785},{"json":775},{"nodeType":468,"data":776,"content":777},{},[778],{"nodeType":408,"data":779,"content":780},{},[781],{"nodeType":407,"value":782,"marks":783,"data":784},"Yes, menopause may worsen existing asthma symptoms in some women. Declining estrogen levels can increase inflammation, which the body tries to repair with tissue remodeling. However, this process thickens the bronchial walls, further obstructing the airways and potentially exacerbating symptoms.",[],{},"Does menopause make existing asthma worse?",{"content":787,"entryTitle":798,"title":798},{"json":788},{"nodeType":468,"data":789,"content":790},{},[791],{"nodeType":408,"data":792,"content":793},{},[794],{"nodeType":407,"value":795,"marks":796,"data":797},"Sudden wheezing in the 40s or 50s may be related to hormonal changes during perimenopause and menopause, which can increase inflammation, leading to structural changes in the airways that can affect breathing. Because wheezing can also signal asthma or another respiratory condition, it’s important for persistent symptoms to be evaluated by a doctor.",[],{},"Why am I suddenly wheezing in my 40s or 50s?",{"content":800,"entryTitle":811,"title":811},{"json":801},{"nodeType":468,"data":802,"content":803},{},[804],{"nodeType":408,"data":805,"content":806},{},[807],{"nodeType":407,"value":808,"marks":809,"data":810},"Yes, menopausal weight gain can exacerbate asthma symptoms in some women by increasing inflammation, airway sensitivity, and pressure on the chest wall. Maintaining a healthy weight through diet and regular, safe exercise can help support lung health and reduce symptom severity.",[],{},"Does weight gain during menopause affect asthma symptoms?",{"content":813,"entryTitle":824,"title":824},{"json":814},{"nodeType":468,"data":815,"content":816},{},[817],{"nodeType":408,"data":818,"content":819},{},[820],{"nodeType":407,"value":821,"marks":822,"data":823},"If breathing symptoms during menopause persist, worsen, or interfere with daily activities or sleep, it’s important to be evaluated by a doctor. Wheezing, chest tightness, or frequent nighttime coughing may indicate asthma rather than normal hormonal changes. A doctor can determine the cause and recommend appropriate treatment.",[],{},"When should breathing symptoms during menopause be evaluated by a doctor?",{"content":826,"entryTitle":837,"title":837},{"json":827},{"nodeType":468,"data":828,"content":829},{},[830],{"nodeType":408,"data":831,"content":832},{},[833],{"nodeType":407,"value":834,"marks":835,"data":836},"Some women may feel as if their inhaler is less effective during menopause because hormonal shifts can increase inflammation and cause the bronchial walls to thicken. These changes can make it harder for inhalers to open the narrowed airways.\n\nResearch also suggests that postmenopausal women may be less responsive to inhaled corticosteroids, making asthma symptoms harder to manage. If inhalers seem less effective, a doctor can reassess symptoms and adjust treatment as needed.",[],{},"Why does my inhaler seem less effective during menopause?",{"name":839,"slug":840,"jobTitle":841,"image":842},"Erin Marie McCluskey","erin-marie-mccluskey","Medical Content Writer",{"url":843,"title":839,"description":839},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6mp7H8mWpadkT8SlNrcem7\u002Fe07049b059b6d96ec1f408443d0131e8\u002Fwinona-author-erin-marie-mccluskey.jpg",{"items":845},[846],{"sys":847,"slug":849,"name":850,"credentials":851,"jobTitle":852,"image":853},{"id":848},"5kJDzbIQHO6LbvTFrhEh0P","dr-pranay-parikh","Pranay Parikh","MD","Prescribing Physician and Medical Reviewer",{"url":854,"title":855},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6HKWVH63qzuxXoakfyGjXZ\u002F78105b7f10c471fc810a3567ac9d5a23\u002Fwinona-physician-pranay-parikh.png","Dr. Pranay Parikh",{"json":857,"links":1449},{"nodeType":468,"data":858,"content":859},{},[860,896,916,924,933,964,983,990,1008,1037,1044,1107,1125,1190,1197,1204,1212,1231,1238,1256,1263,1293,1300,1318,1325,1357,1365,1372,1390,1410,1417,1436,1442],{"nodeType":408,"data":861,"content":862},{},[863,867,875,879,889],{"nodeType":407,"value":864,"marks":865,"data":866},"Hormonal fluctuations may play a part in the link between menopause and asthma. Studies have produced mixed results. While some women may develop new or worsening respiratory symptoms during menopause, others may experience improvement in symptoms, which may be influenced by the use of ",[],{},{"nodeType":501,"data":868,"content":869},{"uri":144},[870],{"nodeType":407,"value":871,"marks":872,"data":874},"hormone replacement therapy (HRT)",[873],{"type":499},{},{"nodeType":407,"value":876,"marks":877,"data":878},".",[],{},{"nodeType":501,"data":880,"content":881},{"uri":493},[882],{"nodeType":407,"value":883,"marks":884,"data":888},"(1)",[885,887],{"type":886},"superscript",{"type":499},{},{"nodeType":407,"value":890,"marks":891,"data":895}," ",[892,893],{"type":886},{"type":894},"bold",{},{"nodeType":408,"data":897,"content":898},{},[899,903,912],{"nodeType":407,"value":900,"marks":901,"data":902},"It’s important to understand how hormonal changes during menopause can influence respiratory function, as adult-onset asthma has been shown to be more common in women than men.",[],{},{"nodeType":501,"data":904,"content":905},{"uri":516},[906],{"nodeType":407,"value":907,"marks":908,"data":911},"(2)",[909,910],{"type":886},{"type":499},{},{"nodeType":407,"value":913,"marks":914,"data":915}," This article will discuss whether menopause can trigger asthma and explore strategies for maintaining long-term respiratory health. ",[],{},{"nodeType":917,"data":918,"content":919},"heading-2",{},[920],{"nodeType":407,"value":921,"marks":922,"data":923},"How Hormonal Changes Affect Asthma",[],{},{"nodeType":925,"data":926,"content":932},"embedded-entry-block",{"target":927},{"sys":928},{"id":929,"type":930,"linkType":931},"6QvMyomkYE6vp7FEFN7uHu","Link","Entry",[],{"nodeType":408,"data":934,"content":935},{},[936,940,948,951,960],{"nodeType":407,"value":937,"marks":938,"data":939},"Asthma is a chronic health condition where the narrowing and inflammation of the airways cause bouts of respiratory symptoms due to obstructed airflow.",[],{},{"nodeType":501,"data":941,"content":942},{"uri":516},[943],{"nodeType":407,"value":907,"marks":944,"data":947},[945,946],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":949,"data":950},[],{},{"nodeType":501,"data":952,"content":953},{"uri":537},[954],{"nodeType":407,"value":955,"marks":956,"data":959},"(3)",[957,958],{"type":886},{"type":499},{},{"nodeType":407,"value":961,"marks":962,"data":963}," In addition to common triggers such as pollen, physical activity, or infection, changes in levels of sex steroid hormones may also affect asthma symptoms.",[],{},{"nodeType":408,"data":965,"content":966},{},[967,971,980],{"nodeType":407,"value":968,"marks":969,"data":970},"Estrogen, progesterone, and testosterone all influence respiratory function. Estrogen promotes mucus production and supports the healthy functioning of airway smooth muscle (ASM). Progesterone plays a role in mucus clearance and minimizes structural changes in the airways caused by asthma. Androgens have anti-inflammatory properties, and higher levels of testosterone have been linked with improved lung function. As levels of these hormones fluctuate and progressively decline during different stages of menopause, some women may develop asthma symptoms.",[],{},{"nodeType":501,"data":972,"content":973},{"uri":558},[974],{"nodeType":407,"value":975,"marks":976,"data":979},"(4)",[977,978],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":981,"data":982},[],{},{"nodeType":917,"data":984,"content":985},{},[986],{"nodeType":407,"value":987,"marks":988,"data":989},"Can menopause trigger or worsen asthma?",[],{},{"nodeType":408,"data":991,"content":992},{},[993,997,1005],{"nodeType":407,"value":994,"marks":995,"data":996},"Menopause may increase the risk of new-onset asthma. Findings of a longitudinal study of European women revealed that new-onset asthma was more common in perimenopausal, early postmenopausal, and late postmenopausal women in comparison to women in their reproductive years.",[],{},{"nodeType":501,"data":998,"content":999},{"uri":493},[1000],{"nodeType":407,"value":883,"marks":1001,"data":1004},[1002,1003],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1006,"data":1007},[],{},{"nodeType":408,"data":1009,"content":1010},{},[1011,1015,1023,1026,1034],{"nodeType":407,"value":1012,"marks":1013,"data":1014},"Another longitudinal study of postmenopausal women in Canada between the ages of 45 and 85 found that the age at natural menopause may also influence asthma risk later in life. Findings showed that women who reached natural menopause between the ages of 40 and 44 were 30% less likely to develop asthma compared to those who reached menopause between the ages of 50 and 54. Certain respiratory symptoms, such as wheezing, have also been noted in connection with surgical menopause.",[],{},{"nodeType":501,"data":1016,"content":1017},{"uri":493},[1018],{"nodeType":407,"value":883,"marks":1019,"data":1022},[1020,1021],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1024,"data":1025},[],{},{"nodeType":501,"data":1027,"content":1028},{"uri":516},[1029],{"nodeType":407,"value":907,"marks":1030,"data":1033},[1031,1032],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1035,"data":1036},[],{},{"nodeType":917,"data":1038,"content":1039},{},[1040],{"nodeType":407,"value":1041,"marks":1042,"data":1043},"Perimenopause and Asthma Symptoms",[],{},{"nodeType":408,"data":1045,"content":1046},{},[1047,1051,1060,1064,1069,1073,1079,1083,1092,1095,1104],{"nodeType":407,"value":1048,"marks":1049,"data":1050},"Some women may experience asthma symptoms starting in ",[],{},{"nodeType":501,"data":1052,"content":1054},{"uri":1053},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002F15-signs-of-perimenopause",[1055],{"nodeType":407,"value":1056,"marks":1057,"data":1059},"perimenopause",[1058],{"type":499},{},{"nodeType":407,"value":1061,"marks":1062,"data":1063}," as hormone levels begin to change.",[],{},{"nodeType":407,"value":1065,"marks":1066,"data":1068}," ",[1067],{"type":894},{},{"nodeType":407,"value":1070,"marks":1071,"data":1072},"A study published in ",[],{},{"nodeType":407,"value":1074,"marks":1075,"data":1078},"The Journal of Allergy and Clinical Immunology (JACI)",[1076],{"type":1077},"italic",{},{"nodeType":407,"value":1080,"marks":1081,"data":1082}," found that respiratory symptoms were twice as common among asthmatic women during the menopause transition.",[],{},{"nodeType":501,"data":1084,"content":1085},{"uri":579},[1086],{"nodeType":407,"value":1087,"marks":1088,"data":1091},"(5)",[1089,1090],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1093,"data":1094},[],{},{"nodeType":501,"data":1096,"content":1097},{"uri":600},[1098],{"nodeType":407,"value":1099,"marks":1100,"data":1103},"(6)",[1101,1102],{"type":886},{"type":499},{},{"nodeType":407,"value":890,"marks":1105,"data":1106},[],{},{"nodeType":408,"data":1108,"content":1109},{},[1110,1114,1122],{"nodeType":407,"value":1111,"marks":1112,"data":1113},"Some women may experience the following respiratory changes during perimenopause:",[],{},{"nodeType":501,"data":1115,"content":1116},{"uri":600},[1117],{"nodeType":407,"value":1099,"marks":1118,"data":1121},[1119,1120],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1123,"data":1124},[],{},{"nodeType":460,"data":1126,"content":1127},{},[1128,1138,1148,1170,1180],{"nodeType":409,"data":1129,"content":1130},{},[1131],{"nodeType":408,"data":1132,"content":1133},{},[1134],{"nodeType":407,"value":1135,"marks":1136,"data":1137},"Wheezing",[],{},{"nodeType":409,"data":1139,"content":1140},{},[1141],{"nodeType":408,"data":1142,"content":1143},{},[1144],{"nodeType":407,"value":1145,"marks":1146,"data":1147},"Wheezing with breathlessness",[],{},{"nodeType":409,"data":1149,"content":1150},{},[1151],{"nodeType":408,"data":1152,"content":1153},{},[1154,1157,1166],{"nodeType":407,"value":467,"marks":1155,"data":1156},[],{},{"nodeType":501,"data":1158,"content":1160},{"uri":1159},"https:\u002F\u002Fbywinona.com\u002Fmenopause-symptoms\u002Fshortness-of-breath",[1161],{"nodeType":407,"value":1162,"marks":1163,"data":1165},"Shortness of breath",[1164],{"type":499},{},{"nodeType":407,"value":1167,"marks":1168,"data":1169}," during the day",[],{},{"nodeType":409,"data":1171,"content":1172},{},[1173],{"nodeType":408,"data":1174,"content":1175},{},[1176],{"nodeType":407,"value":1177,"marks":1178,"data":1179},"Shortness of breath after physical activity",[],{},{"nodeType":409,"data":1181,"content":1182},{},[1183],{"nodeType":408,"data":1184,"content":1185},{},[1186],{"nodeType":407,"value":1187,"marks":1188,"data":1189},"Being woken up by chest tightness, shortness of breath, or cough attacks ",[],{},{"nodeType":917,"data":1191,"content":1192},{},[1193],{"nodeType":407,"value":1194,"marks":1195,"data":1196},"Asthma Treatment Options During Menopause",[],{},{"nodeType":408,"data":1198,"content":1199},{},[1200],{"nodeType":407,"value":1201,"marks":1202,"data":1203},"The following are standard asthma treatment methods that may be recommended for women during menopause to help manage symptoms:",[],{},{"nodeType":1205,"data":1206,"content":1207},"heading-3",{},[1208],{"nodeType":407,"value":1209,"marks":1210,"data":1211},"Quick-Relief Medications",[],{},{"nodeType":408,"data":1213,"content":1214},{},[1215,1219,1228],{"nodeType":407,"value":1216,"marks":1217,"data":1218},"Quick-relief inhalers may be prescribed for mild cases of asthma. These fast-acting medications are intended to be used during an asthma attack to reduce swelling and increase airflow through the airways.",[],{},{"nodeType":501,"data":1220,"content":1221},{"uri":621},[1222],{"nodeType":407,"value":1223,"marks":1224,"data":1227},"(7)",[1225,1226],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1229,"data":1230},[],{},{"nodeType":1205,"data":1232,"content":1233},{},[1234],{"nodeType":407,"value":1235,"marks":1236,"data":1237},"Long-Term Control Medications ",[],{},{"nodeType":408,"data":1239,"content":1240},{},[1241,1245,1253],{"nodeType":407,"value":1242,"marks":1243,"data":1244},"These medications are used long term to prevent and manage asthma symptoms. A patient may be prescribed oral drugs, inhaled long-acting bronchodilators, or allergy shots, among other treatment options.",[],{},{"nodeType":501,"data":1246,"content":1247},{"uri":621},[1248],{"nodeType":407,"value":1223,"marks":1249,"data":1252},[1250,1251],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1254,"data":1255},[],{},{"nodeType":1205,"data":1257,"content":1258},{},[1259],{"nodeType":407,"value":1260,"marks":1261,"data":1262},"Oral Corticosteroids ",[],{},{"nodeType":408,"data":1264,"content":1265},{},[1266,1270,1278,1281,1290],{"nodeType":407,"value":1267,"marks":1268,"data":1269},"Oral corticosteroids may be recommended if asthma doesn’t improve with other quick-relief medicines. They may also be prescribed as a long-term control medication. Oral corticosteroids can help prevent hospitalizations from severe asthma attacks.",[],{},{"nodeType":501,"data":1271,"content":1272},{"uri":621},[1273],{"nodeType":407,"value":1223,"marks":1274,"data":1277},[1275,1276],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1279,"data":1280},[],{},{"nodeType":501,"data":1282,"content":1283},{"uri":642},[1284],{"nodeType":407,"value":1285,"marks":1286,"data":1289},"(8)",[1287,1288],{"type":886},{"type":499},{},{"nodeType":407,"value":890,"marks":1291,"data":1292},[],{},{"nodeType":1205,"data":1294,"content":1295},{},[1296],{"nodeType":407,"value":1297,"marks":1298,"data":1299},"Bronchial Thermoplasty Procedure ",[],{},{"nodeType":408,"data":1301,"content":1302},{},[1303,1307,1315],{"nodeType":407,"value":1304,"marks":1305,"data":1306},"A bronchial thermoplasty may also be recommended if medication doesn’t improve symptoms. This minimally invasive procedure uses heat to thin the muscles of the airways and reduce constriction, resulting in fewer asthma attacks.",[],{},{"nodeType":501,"data":1308,"content":1309},{"uri":621},[1310],{"nodeType":407,"value":1223,"marks":1311,"data":1314},[1312,1313],{"type":886},{"type":499},{},{"nodeType":407,"value":890,"marks":1316,"data":1317},[],{},{"nodeType":1205,"data":1319,"content":1320},{},[1321],{"nodeType":407,"value":1322,"marks":1323,"data":1324},"Lifestyle Modifications",[],{},{"nodeType":408,"data":1326,"content":1327},{},[1328,1332,1341,1345,1354],{"nodeType":407,"value":1329,"marks":1330,"data":1331},"Dust, pet dander, and pollen are common asthma triggers. Limiting exposure to known triggers with routine cleaning or by staying indoors during ",[],{},{"nodeType":501,"data":1333,"content":1335},{"uri":1334},"https:\u002F\u002Fbywinona.com\u002Fmenopause-symptoms\u002Fallergies",[1336],{"nodeType":407,"value":1337,"marks":1338,"data":1340},"allergy season",[1339],{"type":499},{},{"nodeType":407,"value":1342,"marks":1343,"data":1344}," can reduce the risk of asthma attacks. Maintaining a healthy weight, increasing fruit and vegetable intake, managing stress, and engaging in safe amounts of exercise can also help control asthma symptoms and promote women’s overall health.",[],{},{"nodeType":501,"data":1346,"content":1347},{"uri":663},[1348],{"nodeType":407,"value":1349,"marks":1350,"data":1353},"(9)",[1351,1352],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1355,"data":1356},[],{},{"nodeType":1358,"data":1359,"content":1364},"embedded-asset-block",{"target":1360},{"sys":1361},{"id":1362,"type":930,"linkType":1363},"68lqhWuZf4U63pHyaw9u89","Asset",[],{"nodeType":917,"data":1366,"content":1367},{},[1368],{"nodeType":407,"value":1369,"marks":1370,"data":1371},"HRT Considerations for Women with Asthma",[],{},{"nodeType":408,"data":1373,"content":1374},{},[1375,1379,1387],{"nodeType":407,"value":1376,"marks":1377,"data":1378},"HRT is used to reduce menopausal symptoms; it’s not a treatment method for asthma. Research is inconclusive regarding the effects of HRT on asthma among menopausal women. Some research has shown that HRT may increase the risk of newly diagnosed asthma in postmenopausal women. However, other studies have shown that symptoms may improve with HRT use in women already diagnosed with asthma.",[],{},{"nodeType":501,"data":1380,"content":1381},{"uri":579},[1382],{"nodeType":407,"value":1087,"marks":1383,"data":1386},[1384,1385],{"type":886},{"type":499},{},{"nodeType":407,"value":890,"marks":1388,"data":1389},[],{},{"nodeType":408,"data":1391,"content":1392},{},[1393,1397,1406],{"nodeType":407,"value":1394,"marks":1395,"data":1396},"Another study found a link between previous HRT use and severe asthma exacerbation in asthmatic perimenopausal and postmenopausal women. This relationship was not observed with current HRT use. Additionally, the study found that body mass index (BMI) and smoking status are contributing factors.",[],{},{"nodeType":501,"data":1398,"content":1399},{"uri":684},[1400],{"nodeType":407,"value":1401,"marks":1402,"data":1405},"(10)",[1403,1404],{"type":886},{"type":499},{},{"nodeType":407,"value":1407,"marks":1408,"data":1409}," For these reasons, a doctor will consider a patient’s eligibility for HRT on an individual basis, factoring in menopausal symptom severity, health status, and asthma history. ",[],{},{"nodeType":917,"data":1411,"content":1412},{},[1413],{"nodeType":407,"value":1414,"marks":1415,"data":1416},"When to Seek Medical Advice ",[],{},{"nodeType":408,"data":1418,"content":1419},{},[1420,1424,1433],{"nodeType":407,"value":1421,"marks":1422,"data":1423},"Women should talk to their doctor if they experience new or worsening symptoms of asthma during menopause. A doctor can diagnose the condition using a variety of tools, including lung function tests, bronchial provocation tests, or allergy tests, and develop an individualized treatment plan.",[],{},{"nodeType":501,"data":1425,"content":1426},{"uri":705},[1427],{"nodeType":407,"value":1428,"marks":1429,"data":1432},"(11",[1430,1431],{"type":886},{"type":499},{},{"nodeType":407,"value":467,"marks":1434,"data":1435},[],{},{"nodeType":925,"data":1437,"content":1441},{"target":1438},{"sys":1439},{"id":1440,"type":930,"linkType":931},"2mlYySM9pCeqc82hNcJGpg",[],{"nodeType":408,"data":1443,"content":1444},{},[1445],{"nodeType":407,"value":1446,"marks":1447,"data":1448},"Increased education around changes in respiratory health that can occur as women approach menopause is also important. Physicians can empower women with the information they need about asthma prevention and treatment in order to maintain respiratory health during this phase of life. 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Try Winona Today.",{"url":1479,"title":1480,"description":467},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F3s2EJIbR9ER9PhdrFDugYp\u002Fcd4d13d7a5de2425df71ab13fc9be64b\u002Fpreventive-care-ad-5-desktop.png?fm=webp","preventive-care-ad-5-desktop",{"url":1482,"title":1483,"description":467},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6y9LMupekVLg02tmIBCY0N\u002Ff1d99f501e1f32e9e8654f55dd662447\u002Fpreventive-care-ad-5-mobile.png?fm=webp","preventive-care-ad-5-mobile"]