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But during perimenopause and menopause, several critical pathways slow down: Growth hormone (GH) production declines affecting muscle mass, fat metabolism, skin quality, and recovery Inflammatory markers increase contributing to joint pain, brain fog, and metabolic dysfunction Sleep architecture degrades less deep sleep means less cellular repair, less growth hormone release, and more fatigue Collagen synthesis drops dramatically women lose roughly 30% of their collagen in the first five years of menopause, accelerating skin aging, joint stiffness, and connective tissue weakness Gut lining integrity weakens leading to increased inflammation, food sensitivities, and nutrient malabsorption Sexual function changes declining hormones reduce libido, arousal, and tissue health Peptide therapy doesnt replace what menopause takes away it reactivates the pathways that menopause suppresses

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Marked mydriasis rather than miosis may be seen due to hypoxia in overdose situations