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[7] [8] When body fat decreases rapidly, oestrogen levels may fluctuate, potentially leading to irregular periods, lighter bleeding, or temporary amenorrhoea (absence of menstruation)

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Importantly, recent research suggests that paternal preconception interventions, such as dietary restriction or exercise, may restore sperm epigenetic integrity and reduce offspring metabolic risk [103]

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Gastric Sleeve and Bypass: A Metabolic Reset Procedures like the sleeve gastrectomy or gastric bypass do more than limit food intake