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Long-term studies show significant weight regain over 6-12 months of discontinuation, but a structured short break with proper weight maintenance strategies typically results in 3-8 pounds of regain, much of which is water weight and glycogen restoration that reverses quickly upon restarting medication

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Larger prospective trials, stratified by hormone formulation, route of delivery, timing of initiation, and baseline metabolic health, will be required to establish causality, characterize which women benefit most, and track outcomes across the full range of health domains this article has examined

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