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Youre losing fat, youre losing tissue integrity, and all those things matter for a healthy pelvic floor. How GLP-1 usage impacts women's health Vaginal changes from GLP-1 use can include decreased lubrication, vaginal dryness, loss of pelvic floor strength, and symptoms associated with a weakened pelvic floor, such as bladder leakage and painful sex

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It remains a useful surgery, but the recovery is long, and the side effects are significant

While up-ward scaling was observed in these areas, gains were also made, and the presence of global actors during and post-gains underscores the interplay between up-ward and down-ward scaling across multiple levels

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