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The hormonal pattern often resembles PCOS even in women without PCOS, with elevated estrogen relative to progesterone

Who It Is For Patients with stubborn visceral fat that resists diet and exercise Men and women experiencing metabolic slowdown associated with aging Patients with insulin resistance or metabolic syndrome who want to improve metabolic markers Anyone seeking meaningful body recomposition not just weight loss, but shifting the ratio of fat to lean mass Patients who have plateaued on a weight loss program and need a metabolic reset What to Expect Weeks 1-4: Improved energy and exercise tolerance as mitochondrial function improves

135 Although not considered a first-line treatment for obstructive sleep apnea, oral appliances are sometimes used in those who are unable to tolerate CPAP