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Twenty-three-year-old Monica and her husband Bill are ready to start a family. They are both avid bicyclists and weight-lifters who carefully watch what they eat and pride themselves on their “buff” bodies. However, Monica is having difficulty becoming pregnant. Monica hasn’t had a menstrual period for some time but informs the doctor that is normal for her. After consulting with her physician, the doctor tells Monica that she needs to cut back on her exercise routine and “put on some weight” in order to get pregnant. Monica is outraged because she figures she will gain enough weight when she is pregnant! Explain to Monica what has happened to her and why weight gain could help her achieve her goal of pregnancy.

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