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For vaginal complaints, a pragmatic approach consistent with pharmacovigilance principles is: Continue semaglutide while treating common causes unless symptoms are severe, refractory, temporally tightly linked to dosing/escalation, and alternative diagnoses have been reasonably excluded
All aspects of care, including initial evaluations, laboratory testing , follow-up visits, and dose adjustments, are coordinated within one clinic to ensure continuity and close monitoring
doi: 10.1038/s41586-023-06482-x 108 ShlomaiGNeelBLeRoithDGallagherEJ
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