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Persistent fatigue is also a common symptom of perimenopause and menopause, due to the hormonal effects on sleep quality and neurotransmitter balance

Neck lumps, hoarseness, or difficulty swallowing or breathing should prompt medical attention

So you can go, and your doctor will measure your weight, calculate your height, and tell you what your BMI is

Some experience the first real weight loss

However, GLP-1RAs are expensive and can potentially widen health disparities as obesity disproportionally affects marginalised racial, ethnic, and socioeconomic communities