How to Revitalize Your Main Street from page 8


Joe Lawniczak, downtown design specialist at the Wisconsin Economic Development Corporation. But instead of demolishing the buildings, a local volun- teer crew called the Falls Facelifters began removing inappropriate alterations— like the redwood siding and aluminum awning that covered the cream brick facade of an old retail space. The free labor from committed residents made it cheaper for owners to complete the restorations, and with the additional help of grants and low- interest loans, the struc- tures regained their splendor, one by one. The cosmetic improvements, in turn, lured new businesses.


NEURS. Over 10 years ago in Emporia, Kan. (pop. 24,799), leaders of the city’s nonprofit downtown- revitalization group began talking with the owners of both healthy and struggling local businesses and discov- ered three pressing needs: training, financing, and logistical support. In response, the organization partnered with two local colleges to create a “Start Your Own Business” class. Over the past eight years, that class has helped launch or expand 42 enterprises. In addition, the group devel-


ENCOURAGE ENTREPRE-


HOW OFTEN ARE HOT FLASHES


MOMENTS?


STEALING YOUR


RARELY? OCCASIONALLY? OFTEN?


If it’s more often than you want, PREMARIN, the nation’s #1-prescribed branded oral estrogen therapy,1


could be right for you. PREMARIN® (conjugated estrogens tablets, USP) helps control moderate


to severe hot flashes due to menopause. It also helps treat vaginal changes due to menopause and prevent postmenopausal bone loss. It’s been relied on by generations of women and their doctors for over 70 years. That’s a lot of moments.


To learn more, visit premarin.com/mysymptoms and then talk to your doctor.


PREMARIN is used after menopause to reduce moderate to severe hot flashes; to treat moderate to severe menopausal changes in and around the vagina; and to help reduce the chances of getting osteoporosis (thin, weak bones).


If you are using or are considering using PREMARIN only to treat those vaginal changes, consider topical therapies first. If you are using or are considering using PREMARIN only to prevent osteoporosis due to menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you. PREMARIN should be used at the lowest effective dose and for the shortest duration consistent with your treatment goals and risks.


IMPORTANT SAFETY INFORMATION


Using estrogen-alone may increase your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using PREMARIN. Vaginal bleeding after menopausemay be awarning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.


Do not use estrogens, with or without progestins, to prevent heart disease, heart attacks, strokes or dementia (decline in brain function). Using estrogens, with or without progestins, may increase your chance of getting dementia, based on a study of women 65 years of age or older.


Using estrogen-alone may increase your chances of getting strokes or blood clots. Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots.


You and your healthcare provider should talk regularly about whether you still need treatment with PREMARIN.


PREMARIN should not be used if you have unusual vaginal bleeding; have or had cancer; had a stroke or heart attack; have or had blood clots or liver problems; have a bleeding disorder; are allergic to any of its ingredients; or think you may be pregnant. In general, the addition of a progestin is recommended for women with a uterus to reduce the chance of getting cancer of the uterus.


Estrogens increase the risk of gallbladder disease.Discontinue estrogen if loss of vision, pancreatitis, or liver problems occur.


If you take thyroid medication, consult your healthcare provider as use of estrogens may change the amount needed.


The most common (*5%) side effects are: abdominal pain, asthenia, pain, back pain, headache, flatulence, nausea, depression, insomnia, breast pain, endometrial hyperplasia, leucorrhea, vaginal hemorrhage, and vaginitis.


Please see Important Product Information on the next page.


You are encouraged to report negative side effects of prescription drugs to the FDA. Visitwww.fda.gov/medwatch or call 1-800-FDA-1088.


1. IMS Health, Total US prescription data for HRT-Estrogen, March 2008-February 2014. ©2014 Pfizer Inc. All rights reserved. April 2014. PRM626302-03


These are your moments © PARADE Publications 2014. All rights reserved


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