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Key mechanisms through which weight loss may influence menstruation include: Hormonal rebalancing: Rapid weight loss can temporarily alter the balance of reproductive hormones, including oestrogen, progesterone, luteinising hormone (LH), and follicle-stimulating hormone (FSH)

The insurance company will want to see documented proof of: A specific Body Mass Index (BMI): Usually a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related comorbidity (like high blood pressure, high cholesterol, or sleep apnea)

Disclosure Fernando Gomez-Peralta has received research support from Sanofi, Novo Nordisk, Boehringer Ingelheim, and Eli Lilly, has taken part in advisory boards for Sanofi, Novo Nordisk, and AstraZeneca Pharmaceuticals LP, and has acted as a speaker for Sanofi, Novo Nordisk, Boehringer Ingelheim, Novartis, Bristol-Myers Squibb Company, Eli Lilly, and AstraZeneca Pharmaceuticals LP

Malhi GS, Das P, Outhred T et al (2018) Understanding suicide: focusing on its mechanisms through a lithium lens