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And while we love to say these things come out of nowhere, in reality I could feel the shift happening: My cravings especially for sugar and carbs went way up My luteal phase hunger became intense and distracting I felt like my food noise volume knob got turned up to a 10 My once-predictable appetite cues felt unreliable And I could tell my blood sugar wasnt as steady as it used to be Nothing dramatic happened

Two medications leading this revolution are semaglutide (marketed as Ozempic and Wegovy) and tirzepatide (marketed as Mounjaro and Zepbound)

Because of this, its plausible that some patients could experience broader systemic effects, including hormonal or temperature-related symptoms

To eat or not to eat: a role for ghrelin and LEAP2 in eating disorders

Understanding both systems prevents confusion if you switch between them or discuss dosing with someone using a different format