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Studies of bariatric surgery and intensive lifestyle interventions have consistently shown that weight reduction of 5-10% or more can improve menstrual regularity and fertility in women with obesity

If you tolerate coffee, 2-3 cups daily may provide some protection

Weight loss typically becomes apparent within the first month, with continued gradual reduction over 6-12 months, contributing to progressive improvements in insulin sensitivity

But individual variation is large, and some people remain sensitive to specific triggers throughout their treatment