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On the reproductive axis, recent meta-analyses and RCTs suggest modest improvements in ovulation-induction pregnancy rates and androgen milieu, with reductions in LH and total testosterone in some studies (123)
However, a significant caloric deficit, especially one this pronounced, often comes at a cost: the loss of precious lean muscle mass
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These occur mainly due to circulatory disturbances, increased capillary leakage, and fluid accumulation (Scoggin et al., 1977
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