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Hsiao, D., Wu, H., Malhotra, N., Liu, C., Wu, H., Lin, N., Saputra, F., Santoso, F., & Chen, C

Its most common clinical signs are pelvic pain, dyspareunia, a prolonged menstrual period, and a rise in menstrual volume, which can lead to infertility, anxiety, and depression

They can also assess for medical conditions that affect metabolism, including hypothyroidism, polycystic ovary syndrome (PCOS), or Cushing's syndrome, though these are relatively uncommon causes of treatment-resistant weight plateaus