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She had started Ozempic two months earlier

Falling estrogen levels mean we lose muscle faster, store more fat around our middles, and become more insulin-resistant

And roughly one quarter lost 30% or more of their starting body weight

Starting from about 230 pounds, Grunch lost 50 pounds over a year and a half by making changes to her diet and maintained the weight loss for more than four years before losing an additional 30 pounds on Mounjaro, a drug manufactured for diabetes but at the time used off-label for weight loss

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