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Focus on: Protein-rich foods to preserve lean muscle mass during weight loss Iron-containing foods (red meat, leafy greens, fortified cereals) to prevent anaemia, particularly if periods become heavier Calcium and vitamin D for bone health, as oestrogen fluctuations can affect bone density Healthy fats including omega-3 fatty acids, which support hormone production For women using hormonal contraception , the Faculty of Sexual and Reproductive Healthcare (FSRH) advises that semaglutide and liraglutide do not reduce hormonal contraceptive efficacy

2013;8(4):e61876

This Comment highlights emerging evidence and advocates for clinical strategies that prioritize muscle preservation to ensure the long-term success and safety of pharmacological weight management

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Any potential reduction in AF burden would therefore represent an added benefit rather than a primary therapeutic goal