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Effective nutritional recommendations focus on stabilizing energy levels rather than extreme restriction
Thompson added that while growing interest in these drugs for weight loss treatment is grabbing headlines, over 80% of use today is for patients with diabetes
~14% with semaglutide, prompting shifting clinical preferences
As estrogen fluctuates in perimenopause and declines in menopause, several things happen simultaneously: Insulin resistance increases Visceral fat storage becomes easier Muscle mass gradually declines Resting metabolic rate slows Sleep becomes more disrupted Cortisol becomes more reactive Insulin resistance alone can change everything
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