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This former athlete struggled with weight gain post-career, dealing with chronic joint pain, multiple knee surgeries, and gout

It's important to talk to your healthcare team about these emotional impacts

Consult your GP if you experience: Persistent low libido despite restoring adequate caloric intake for 36 months Complete loss of sexual desire that causes significant personal distress or relationship difficulties Amenorrhoea (absent periods) for three consecutive cycles or longer Erectile dysfunction in men, particularly if sudden onset or progressive (erectile dysfunction can be an early marker of cardiovascular disease risk and may warrant cardiovascular risk assessment) [18] [19] Additional symptoms such as unexplained fatigue, mood changes, hair loss, cold intolerance, or unintentional weight changes Signs of eating disorders , including preoccupation with food, body dysmorphia, or purging behaviours Your GP can conduct a thorough assessment including medical history, examination, and appropriate investigations

Weight loss intervention adherence and factors promoting adherence: a meta-analysis. Patient Preference and Adherence, 2016