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As hormone levels change, so can body composition, fat distribution, and overall metabolic efficiency

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Note on visceral (smooth-muscle) cramps: Cramping sensations in the abdomen or chest (e.g., oesophageal spasm) or gut are typically due to visceral smooth-muscle activity or underlying organ pathology (e.g., colic, biliary colic, bowel obstruction, oesophageal spasm) and should be evaluated differently from skeletal muscle cramps

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