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Oxidative stress also affects the renin-angiotensin-aldosterone system (RAAS), a hormonal system that regulates blood pressure and fluid balance [79]

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This hormonal rollercoaster creates unpredictable bleeding patterns that differ from the regular cycles women experienced in their 20s and 30s

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Some patients plateau at a new, slightly lower weight than their starting point if they've built sustainable eating habits, while others experience rapid weight cycling back to near-baseline levels within 36 months