Do you think that coming off of them leads to increased fertility issues as body forgets how it is supposed to work?

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It definitely depends on many factors- how long you have been on it, how nourished you are, your level of healthy activity, your mental and emotional health, etc. It can definitely take time for the body to re-learn its natural rhythm if it’s been suppressed for a long time. But the body is so resilient that with proper health optimization and patience, reclaiming fertility is totally possible❤️