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These are medical concerns with underlying hormonal and metabolic components

Unnatural growth hormone-releasing peptide begets natural ghrelin

Some patients prefer this as a way to stay accountable, while others may feel ready to stop altogether

Weight management and lifestyle modifications are fundamental components of pregnancy care for this population, as depicted in Figure 3, management of patients with PCOS before, during, and after pregnancy

Poor sleep increases hunger (via higher ghrelin and lower leptin), raises cortisol levels that promote fat storage, and reduces willpower and recovery, making it harder to stick to healthy habits