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You shouldnt take Ozempic, Wegovy, or other GLP-1 medications if you have any of these pre-existing conditions or circumstances: Personal or family history of medullary thyroid carcinoma (MTC) History of Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Type 1 diabetes Severe gastrointestinal disorders (like gastroparesis or severe IBS) Pancreatitis (current or past) Gallbladder disease or history of gallstones Liver or kidney disease that isnt well managed Pregnancy or breastfeeding Medication alone wont fix all your symptoms

Practice Pelvic Floor Exercises Since changes in weight can affect bladder support, performing Kegel exercises can be beneficial

Conflicts of interest The authors have no conflicts of interest to disclose

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Achieving these results requires a partner committed to the highest standards of clinical governance

Medicare is not included because the necessary data was not available at the time of this analysis