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Associated Symptoms Beyond the changes in your bleeding pattern, other symptoms often emerge, usually due to the hormonal imbalances or health conditions that lead to missed or infrequent periods: Signs of Hormonal Imbalance: These can include new or worsening acne, increased facial or body hair (hirsutism), thinning hair on the scalp, unexplained weight gain or difficulty losing weight, hot flashes, and reduced sex drive

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This is not specific to retatrutide but occurs with any significant caloric deficit

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