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During perimenopause, as oestrogen declines and muscle breakdown increases, you can lose up to 1% of your muscle mass per year if you don't actively work to maintain it

These psychological effects vary widely from person to person, and they may change over time depending on mental health, weight changes, and social dynamics

This adaptation phase coincides with your appetite adjusting to the new baseline, making it easier to maintain dietary changes without feeling deprived

Older oral medications still have a role, especially when GLP-1s aren't appropriate or accessible

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