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[4] [5] Additional contributing factors include: Sleep disturbances and night sweats disrupting metabolic regulation Reduced physical activity due to fatigue or joint discomfort Psychological factors including stress, mood changes, and emotional eating Changes in insulin sensitivity Weight changes during the menopausal transition vary considerably between individuals

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however, rare complications can extend symptoms even longer

[DOI] [PMC free article] [PubMed] [Google Scholar] 45.Chrysant S.G

and my appetite was significantly suppressed