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Supplemental Table 1 Doses and number of users for each preparation analyzed. CEE < 0.625mg n % CEE> 0.625mg n % Oral E2 n % Trans- Dermal n % Other E1 Sulphate Dom n %

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Supplemental Table 1 Doses and number of users for each preparation analyzed.

CEE <

0.625mg n % CEE>

0.625mg n % Oral

E2 n % Trans-

Dermal n % Other E1 Sulphate Dom

n %

0.125mg 16 1.5 0.9mg 680 42.0 0.5mg 157 9.0 0.05mg 883 69 0.3mg 37 2.3 0.3mg 1064 98.5 1.25mg 909 56.2 1 mg 1323 76.0 0.07mg 1 0.1 0.625m 1156 71.9

2.5mg 29 1.8 2 mg 221 12.7 0.10mg 211 17 1.25mg 302 18.8

? 39 2.2 ? 187 15 2.5mg 61 3.8

? 53 3.3

E2 = estradiol E1=Estrone

Supplemental Table 2. Year 3 Blood Pressure by 0.625mg CEE versus Other Doses

Outcome low dose CEE (n=965) conventional CEE (n=11166) high Dose CEE

(n=1378) Trend p-valuea Year 3 Systolic

Blood Pressure Mean (SD) 119.6 (14.8) 120.0 (14.6) 119.6 (14.1)

Model Estimate (95%CI) Estimate (95%CI)

Unadjusted 0.00 (ref) 0.03

Age/Race 0.00 (ref)

Estimate (95%CI) 0.10 (-0.60 to 0.80)

0.14 (-0.56 to 0.85) 0.03 Multivariateb

-1.16 (-1.99 to -0.34) -1.14 (-1.96 to -0.31)

-1.01 (-1.83 to -0.18) 0.00 (ref) -0.32 (-1.04 to 0.39) 0.34

Year 3 Diastolic

Blood Pressure Mean (SD) 70.8 (8.6) 71.8 (8.4) 72.2 (8.2)

Model Estimate (95%CI) Estimate (95%CI)

Unadjusted 0.00 (ref) 0.20

Age/Race 0.00 (ref)

Estimate (95%CI) 0.07 (-0.35 to 0.48)

0.06 (-0.36 to 0.47) 0.29 Multivariateb

-0.37 (-0.86 to 0.12) -0.31 (-0.80 to 0.18)

-0.28 (-0.76 to 0.21) 0.00 (ref) -0.09 (-0.51 to 0.34) 0.65

All models are adjusted for baseline systolic blood pressure, diastolic blood pressure, CVD (MI, CABG, PTCA, or stroke), 5-year age group, and year 3 treated hypertension

a

Trend p-value from a separate model with outcome as a function of linear trend over CEE dose levels (low = 1, conventional = 2, high = 3)

b

Multivariate models are additionally adjusted for age, race/ethnicity, smoking, physical activity, BMI, history of treated

diabetes, history of pills for high cholesterol, alcohol, hysterectomy, oophorectomy, and education.

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Supplemental Table 3. Treated Hypertension by Direct comparison of 0.625mg CEE versus Other Preparations, By Subgroups

Subgroup 0.625mgl CEE

(n=12657) oral estradiol (n=1740) transdermal (n=1282) other estrone sulphate

dominant (n=1609) Interacti on Events An

n %

HR (95%

CI) Events An

n % HR (95% CI) Events An

n % HR (95% CI) Events An

n % HR (95% CI) p-value

HT Type 0.84

E-Alone 981 3.4 1.00 (ref) 125 2.9 0.91 (0.76 to

1.10) 129 3.0 0.95 (0.79 to

1.15) 118 3.0 0.88 (0.73 to 1.07) E + P 951 2.6 1.00 (ref) 99 2.0 0.86 (0.70 to

1.06) 53 2.1 0.83 (0.63 to

1.09) 103 2.3 0.89 (0.73 to 1.09) Years Since

Menopause 0.59

<10 669 2.4 1.00 (ref) 101 2.1 0.93 (0.75 to

1.15) 67 2.0 0.82 (0.63 to

1.05) 72 2.0 0.85 (0.67 to 1.08) ≥10 1263 3.3 1.00 (ref) 123 2.7 0.86 (0.71 to

1.03) 115 3.1 0.98 (0.81 to

1.19) 149 3.0 0.91 (0.76 to 1.07) Years of Current

HT Use 0.35

<5 612 2.6 1.00 (ref) 102 2.4 0.94 (0.76 to

1.16) 62 2.4 0.91 (0.70 to

1.18) 85 2.7 1.04 (0.83 to 1.31) ≥5 1315 3.1 1.00 (ref) 120 2.4 0.85 (0.70 to

1.02) 120 2.8 0.92 (0.76 to

1.11) 136 2.6 0.81 (0.68 to 0.97) Age at

Screening 0.25

<60 712 2.3 1.00 (ref) 121 2.2 0.95 (0.78 to

1.15) 90 2.2 0.87 (0.70 to

1.09) 79 1.9 0.81 (0.64 to 1.03) 60 – 69 864 3.1 1.00 (ref) 81 2.7 0.85 (0.68 to

1.07) 74 3.0 0.91 (0.72 to

1.15) 98 2.9 0.91 (0.74 to 1.12) ≥70 356 4.4 1.00 (ref) 22 2.8 0.65 (0.42 to

1.00) 18 4.6 1.01 (0.63 to

1.63) 44 4.2 0.98 (0.71 to 1.33) Progestogen

Type (E+P Participants Only)

0.20

Provera / MPA 838 2.5 1.00 (ref) 72 1.8 0.78 (0.62 to

1.00) 45 2.2 0.92 (0.68 to

1.24) 82 2.2 0.86 (0.69 to 1.08) Other/Unknown 109 2.9 1.00 (ref) 27 3.0 1.15 (0.75 to

1.75) 8 1.4 0.53 (0.26 to

1.09) 21 2.6 0.90 (0.56 to 1.43)

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