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Workouts feel like they hit the same muscles harder without producing the same soreness afterward

This used to be something we wouldnt even see once a year, Dr

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Beyond hormonal changes, severe undereating may affect libido through several additional pathways: Neurotransmitter changes: Inadequate intake of amino acids (protein building blocks) may contribute to altered production of dopamine and serotonin, neurotransmitters involved in pleasure, motivation, and mood regulation Micronutrient deficiencies: Deficiencies in nutrients such as zinc and vitamin D have been associated with impaired sexual function, though evidence for direct causation is limited [22] Elevated cortisol: Severe energy deficit acts as a physiological stressor, which may raise cortisol levels

Even though some individuals with excess adiposity might be relatively metabolically healthy compared to others with a similar BMI, they may still be considered at risk for obesity-related primarily non-metabolic complications (e.g., osteoarthritis, gallstones, gastro-oesophageal reflux disease) 3

doi:10.1016/S0140-6736(09)61457-4 18