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Severe calorie restriction in perimenopause can actually make things worse by: Further decreasing metabolic rate (adaptive thermogenesis) Increasing cortisol (chronic stress response) Promoting muscle loss over fat loss Disrupting already-irregular hormone patterns Ive seen women eating 1200 calories and doing intense cardio six days per week, completely exhausted and still gaining weight

10.1007/978-1-59745-177-2_15 141 LeiT.HuZ.DingR.ChenJ.LiS.ZhangF.et al (2020)

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