Additionally, the extra calories come from saturated fat, which is associated with higher cholesterol levels and increased risk of heart disease, likely canceling out any metabolic benefit (American Heart Association 2024)
New England Journal of Medicine , 387(24), 2245-2257
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Some may experience only minor shifts, while others may see major differences in cycle length or flow
A 2023 meta-analysis showed average weight loss of 1015% over 68 weeks for weight-loss indication and improved glycemic control with cardiovascular benefits in diabetic populations, supporting medical necessity arguments
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