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I have had nightly and daily leg and toe cramps

Studies show that functional recovery after tendon injury generally requires several months, while tendon remodeling continues for 6 to 12 months or longer, depending on the type and severity of the injury

At the very least, your doctor should be in line with the NICE and BNF guidelines

Metabolic factors influencing menstrual function during weight loss: Leptin levels: This adipocyte-derived hormone decreases with fat loss and plays a crucial role in reproductive function signaling Insulin sensitivity: Improved insulin sensitivity can normalize androgen levels, particularly beneficial in PCOS Inflammatory markers: Reduction in chronic low-grade inflammation associated with obesity Sex hormone-binding globulin (SHBG): Levels typically increase with weight loss, affecting free hormone availability For women with obesity-related reproductive dysfunction, particularly those with PCOS, moderate and sustained weight loss often improves menstrual regularity over time