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5.3 Lean Mass and Body Composition Weight loss trials indicate that: 2040% of weight lost may include lean mass, depending on protein intake and physical activity. Lean mass loss itself does not cause micronutrient deficiency, but it may reflect: Reduced protein intake Reduced intake of iron- and zinc-rich foods Reduced intake of B vitamins Clinical oversight of protein intake is therefore a practical nutritional priority

Elevated levels of these hormones can lead to symptoms such as hirsutism (excessive hair growth), acne, and irregular menstrual cycles