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[4] [5] Additional contributing factors include: Sleep disturbances and night sweats disrupting metabolic regulation Reduced physical activity due to fatigue or joint discomfort Psychological factors including stress, mood changes, and emotional eating Changes in insulin sensitivity Weight changes during the menopausal transition vary considerably between individuals

and my appetite was significantly suppressed

Research shows that while 50-60% of users experience gastrointestinal side effects initially, these are usually mild to moderate and transient

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