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While menstrual irregularities were not systematically reported as adverse events in published results, the substantial weight loss achieved (approximately 20.9% with the 15 mg dose) would be expected to influence reproductive hormone dynamics in premenopausal women based on established weight loss physiology

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Muscle mass declines, and with it the resting metabolic rate

Common experiences: Fewer cravings Lighter, more predictable hunger Mild nausea if eating too fast or too much What your medical weight loss plan includes: Provider check-in or messaging support Personalized nutrition feedback Maintaining daily movement Reinforcing protein-first eating, which is vital for protecting muscle mass Week 2 priority: Dialing in slow eating, small portions, hydration, and balanced meals

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