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Hypothalamic Amenorrhea and Libido Hypothalamic amenorrhea driven by obesity-related HPG suppression (rather than the undernutrition form) may also respond to fat-mass reduction

Then, a few weeks in, they notice something they didnt expect: exhaustion

Waist circumference at the navel, weekly average Step count from a phone or wearable Strength sessions completed Sleep duration and rough quality Key labs at intervals your clinician recommends, such as A1C, fasting glucose, lipids, and blood pressure trends If several markers are improving, you are on the right path even when the scale is slow

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You might find it helpful to drink small amounts of water before or after meals rather than during them