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[4] [5] Additional contributing factors include: Sleep disturbances and night sweats disrupting metabolic regulation Reduced physical activity due to fatigue or joint discomfort Psychological factors including stress, mood changes, and emotional eating Changes in insulin sensitivity Weight changes during the menopausal transition vary considerably between individuals

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Elevated homocysteine levels may also indicate a deficiency in B vitamins, specifically B2, B6, B12 and folate

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Set smaller, manageable goals instead of trying to change everything at once