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How GLP-1s impact fertility Research shows that having high blood sugar and excess fat in the bodyeven if you dont have type 2 diabetescan affect whether you ovulate every month, Christina Boots, MD, a board-certified ob-gyn at Northwestern Medicine who specializes in reproductive endocrinology, tells SELF

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This adaptation period can result in muscular strain, particularly in the lumbar region

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If the ratio falls below this, the programme must be adjusted