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Rapid decreases can affect the hypothalamic-pituitary-ovarian axis [12] [13] Changes in body fat percentage : Particularly relevant when body fat drops below certain thresholds Caloric restriction effects : Even with adequate nutrition, significant energy deficits can temporarily suppress reproductive function Metabolic adaptation : The body may prioritise essential functions over reproduction during periods of rapid metabolic change For women taking GLP-1 medications , the weight loss achieved may be more rapid than with lifestyle changes alone, potentially increasing the likelihood of temporary menstrual disruption

Muscle tissue is denser than fat, so body composition may improve even if overall weight appears stable or rises slightly