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In 2004, Bernstein et al

Health economics Older adults living with severe obesity have increased healthcare use and cost [22], although the effect of obesity on years-of-life-lost is greatest in younger adults, and the magnitude of years lost with obesity decreases with ageing [16], irrespective of sex, smoking status, physical activity level, or socioeconomic status [35], complicating the health economic considerations of obesity management in older adults

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Irregular periods, hot flashes and night sweats, trouble sleeping, and vaginal issues are some of the most common perimenopause symptoms