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Study #2: Menstrual cycle regularity The same meta-analysis found significant improvement in menstrual regularity (SMD: 1.72, P 15 pounds during washout: This suggests intervention needed: Reassess calorie intake (are you eating significantly more than maintenance?) Increase protein target to 120-150g daily Add resistance training if not already doing it Consider extended washout (4 months instead of 3) to stabilize weight Meet with dietitian for structured meal plan Important consideration: Significant weight regain may impact the fertility improvements you gained from GLP-1 use

Gastric emptying is now recognized as a major determinant of postprandial glycemic excursions in both healthy subjects (6) and people with diabetes (7) and accounts for about a third of the variance in the initial rise in glucose postoral challenge (ie, first 15-30 minutes) (6)

10.1677/JOE-09-0132 [DOI] [PubMed] [Google Scholar] 46.Gilman CP, Perry T, Furukawa K, Grieg NH, Egan JM, Mattson MP

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