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For people whose health doesnt depend on body weight reductions, the potential side effects may be difficult to justify
doi:10.1016/j.neurobiolaging.2020.04.003 110
In clinical trials, participants indeed received counseling to improve diet and exercise (STEP 1 provided monthly individualized lifestyle counseling to all arms (source))
Most menstrual irregularities resolve within 3-6 months as your body adjusts to weight loss and hormone rebalancing
doi: 10.1167/iovs.04-0423 194 DeDreuJBastaMDWalkerJLMenkoAS
Fatigue Some fatigue during the first two months is common and reflects the rapid metabolic changes occurring
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