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Other factors can also contribute to weight gain, including Aging and the physical changes that come with getting older Decline in exercise and sedentary lifestyle Emotional eating that can result from mood swings and other changes happening during menopause Excessive alcohol consumption Lack of sleep Poor overall diet, including processed foods and foods that are low in fiber and high in fat, sugar, and salt For many, excess weight tends to accumulate in the abdomen

Bone (2020) 141:115584

Hines, Lipedema of the Legs: A Syndrome Characterized by Fat Legs and Edema

These typically improve over time and can be minimized by following the dose escalation schedule

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