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Outcome misclassification : patients may label vulvar skin laxity, pelvic floor weakness, bleeding changes, and libido/arousal effects under the umbrella of vaginal changes, requiring clearer phenotyping

Slower digestion and appetite hormone changes can contribute to gas and abdominal fullness

Like B12, take vitamin D in the morning rather than evening, as evening supplementation has been anecdotally associated with disrupted sleep in some individuals

Some employer-sponsored plans cover Wegovy with a qualifying BMI and documented comorbidities

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