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Results In all, 39 pwIIH (mean age 33.6 years [SD 8.0], 92.3% female, median BMI 36.3 kg/m 2 [IQR 31.438.3]) were included, with 13 pwIIH being treated with GLP-1-RAs and remaining adherent to the treatment throughout the study

Strategic meal timing and food selection become crucial, potentially favouring more nutrient-dense, easily digestible protein sources

For perimenopausal women, weight management becomes particularly challenging due to hormonal fluctuations that affect metabolism, appetite regulation, and body composition

This simple adjustment often produces noticeable comfort improvement without changing your medication or dose

Amenorrhea lasting longer than three months is less common but warrants a conversation with your healthcare provider