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The 2022 ADA Standards of Medical Care in Diabetes guidelines propose metabolic surgery as an effective way to strongly improve glycemic control which often leads to remission of diabetes, improved quality of life, improved cardiovascular outcomes, and reduced mortality (ADA 2022)

Its also a good idea to get care if you have: Persistent vaginal irritation, pain, or dryness that doesnt improve with over-the-counter options New urinary leakage, heaviness, or a bulging sensation in the pelvic region Significant distress or discomfort about the cosmetic appearance of your vulva A history of pelvic floor dysfunction or pelvic surgery Worsening symptoms or concerns you feel are related to your weight loss medication PT tip: Focus on strength and feeling good Its easy to focus on changes in how your body looks, but try to pay attention to what matters most like how your body feels and functions, says Dr

Furthermore, GLP-1 RAs have demonstrated significant reductions in major adverse cardiovascular events (MACE), heart failure hospitalizations, and all-cause mortality in patients with T2DM, and obesity, benefits not consistently observed with CPAP in randomized cardiovascular outcome trials [2527]

, 2019 ,doi: 10.1007/s10157-019-01727-4

Patients may struggle to consume even minimal calories, potentially leading to dangerous nutritional deficits and metabolic complications

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