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Weight gain is a main concern that women come in to see me about during perimenopause and menopause, says Christine McRae , PA-C , MSCP , a physician assistant and Menopause Society Certified Practitioner at Methodist Family Health Center Murphy

Conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), small intestinal bacterial overgrowth (SIBO), and leaky gut syndrome are not only common but often underdiagnosed or mismanaged

Research has shown that drinking water before meals can promote satiety and potentially support weight management, but these effects occur through gastric distension and volume-related mechanisms rather than hormonal changes in GLP-1

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