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Diabetologia 60, 15861593

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Elevated estrogen has predictable effects on the menstrual cycle: Proliferative phase lengthens (uterine lining thickens more than usual) Breakthrough bleeding occurs if estrogen drops suddenly after a surge Next period may be heavier because the lining is thicker Estrogen can delay ovulation, shortening the luteal phase The phenomenon is well-documented in bariatric surgery literature

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Specifically, the The Mayo Clinic Diet for Weight-Loss Medications program helps people on weight-loss medications like semaglutide with guidance and support