It is a common phenomenon to lose weight before menstruation, which is mainly related to hormone fluctuations, water and sodium retention and other factors. The weight changes during the menstrual cycle are mainly influenced by factors such as increased progesterone levels, decreased estrogen levels, fluctuations in basal metabolic rate, increased appetite, and slowed intestinal peristalsis.

1. Hormone fluctuation
The increase of progesterone level in luteal phase will promote the retention of water and sodium, resulting in weight gain of 1-3 kg. Reduced estrogen levels can decrease insulin sensitivity and increase fat storage tendency. This physiological edema usually subsides with a decrease in hormone levels after menstruation and does not require special intervention.
2. Metabolic changes
The basal metabolic rate during the luteal phase may increase by 5-10%, but this may be offset by increased appetite. An increase in body temperature of 0.3-0.5 ℃ can accelerate energy expenditure, but some individuals may experience drowsiness and reduced physical activity. It is recommended to maintain moderate exercise and choose low impact exercises such as swimming and yoga.
3. Digestive function
Elevated progesterone can slow down gastrointestinal motility, which may cause constipation and bloating. You can increase your intake of dietary fiber by choosing foods such as oats and chia seeds. Moderate supplementation of probiotics such as Bifidobacterium triple active capsules can help maintain the balance of gut microbiota.

4. Nutritional Requirements
In the early stages, there may be a lack of minerals such as iron and magnesium, which may exacerbate fatigue. It is recommended to consume iron rich foods such as beef and spinach, or take ferrous succinate tablets according to medical advice. Foods rich in magnesium, such as dark chocolate and pumpkin seeds, can help alleviate anxiety.
5. Psychological factors
Emotional fluctuations in the early stages may affect weight loss execution. A decrease in serotonin levels can trigger a craving for carbohydrates. Mindfulness diet training can be attempted, and if necessary, fluoxetine hydrochloride capsules can be used under the guidance of a doctor to regulate emotions.

It is recommended to adopt differentiated weight loss strategies at different stages of the menstrual cycle. During the follicular phase, aerobic exercise can be strengthened, while during the luteal phase, strength training is emphasized. Record the basal body temperature and weight change curves to avoid anxiety caused by short-term fluctuations. If there is no change or abnormal increase in weight for more than two weeks, pathological factors such as polycystic ovary syndrome and hypothyroidism should be investigated. Maintain a balanced diet in daily life, avoid excessive dieting during menstruation, and consume no less than 1200 calories per day.
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