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This lack of protein ends up leading to less collagen and elastin being produced in the skin. These medications also tend to cause loss of bone density as well as muscle mass, he adds

Both medications work by mimicking the GLP-1 hormone, which helps regulate appetite, reduce hunger, and promote feelings of fullness, leading to decreased calorie consumption and weight loss

J Mol Endocrinol (2020) 64(2):10313

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Many of the patients who come to see me have already spent years searching for answers as their Persistent pelvic pain, recurrent infections, unexplained vaginal bleeding, especially with penetration, or difficulty urinating after vaginal mesh placement are not normal, even when symptoms appear soon after surgery or months or years later