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Practical management strategies include: Cycle tracking: Use a menstrual diary or smartphone application to document cycle length, flow characteristics, and associated symptoms Nutritional adequacy: Ensure sufficient caloric intake to support metabolic health despite weight loss goals

Garca-Garca VA, Alameda JP, Page A, Casanova ML

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Inositol A close relation to the vitamin B family, this natural sugar (or sugar alcohol) can help to metabolize fat and improve insulin function, presenting an option with fewer concerns than those associated with lipotropic injections side effects

Amantadine is beneficial in restless legs syndrome