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These declining hormone levels can also cause other telltale signs of perimenopause, such as: Hot flashes or night sweats Trouble sleeping or daytime fatigue Forgetfulness or brain fog Vaginal dryness Pain or discomfort during sex Mood changes, such as increased anxiety or irritability Reduced bladder control or an increase in urinary tract infections (UTIs) Pregnancy and Birth Control If youve recently started birth control, that could be affecting your cycle regularity or bleeding

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Peptides are short chains of amino acids, the building blocks of proteins

According to Alkhaddo, even though these oral agents may not be as effective as GLP-1s, they may be a good choice to help patients maintain their weight

Slow gastric emptying: This medication also slows gastric emptying, which reduces hunger and can diminish thirst cues, leading to dehydration