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The hormonal changes that follow after coming off the contraceptive pill can cause both weight gain and loss, depending on the person, and Dunham believes this is what happened to her

How to hit protein target: Protein shake for breakfast (30-40g) Greek yogurt snack (20g) Chicken or fish at lunch (30-40g) Cottage cheese or protein bar snack (15-20g) Lean protein at dinner (30-40g) Total: 125-160g Resistance training minimum: 2-3 sessions per week, 30-45 minutes each

Yet one feature is shared by the vast majority of patients: around 90% will develop some degree of involvement of the heart, aorta and blood vessels

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