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A balanced diet following the NHS Eatwell Guide rich in vegetables, lean protein, and wholegrains will support both tolerability and effective weight loss

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Women in perimenopause and menopause also experience increased cortisol and insulin resistance, both of which promote fat storage around the midsection

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Future research should explore not only who responds to GLP-1 RA pharmacotherapy, but also how to maintain progress once medication ends, especially in vulnerable subgroups