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Gabrielle Lyon, DO Board-Certified Family Physician Founder, Institute for Muscle-Centric Medicine Author, Forever Strong Source: Integrative & Complementary Therapies, 2024 InsideTracker Longevity by Design Podcast, 2025 A 2025 joint advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and the Obesity Society emphasized that nutritional counseling is essential for patients on GLP-1 therapy not optional

Perimenopause is the transition period leading up to that, and it typically lasts 4-10 years, most commonly starting in your early-to-mid 40s (though some women start experiencing changes in their late 30s)

L.et al (2004b)