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Rehman et al

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Here is what that disruption actually looks like in daily life: Hot flashes and night sweats that interrupt sleep and concentration at work Irregular menstrual cycles that make planning unpredictable Stubborn weight gain, especially visceral fat around the midsection, that resists diet and exercise Persistent fatigue that is not resolved by more rest Brain fog, difficulty concentrating, and memory lapses Mood swings, irritability, and anxiety that feel disproportionate to circumstances Declining libido and vaginal dryness Joint stiffness, skin elasticity changes, and thinning hair Estrogen influences metabolism, mood, and bone density

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