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Assumptions due to missing data are stated explicitly where usedmost importantly that menopausal status, baseline vulvovaginal symptoms, sexual activity, contraceptive use, and co-medications are frequently unreported in pharmacovigilance and trial summaries

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Reduced physical activity : Some patients may experience temporary reductions in physical activity due to gastrointestinal side effects, potentially decreasing weight-bearing activity that helps maintain bone strength

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Semaglutide for Obesity (NEJM, 2025) Rodriguez et al

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