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Estrogen decline thins the vaginal and urethral tissues, reduces protective bacterial populations, and alters urinary pH

Semaglutide GLP-1 doesnt produce immediate effects

Pinto, who wasnt involved in the study

There is little clinical guidance on this, so pharmacists must prioritise patient safety and, since there is no validated dose equivalence, the safest approach is to start the new medication its lowest available dose then titrate gradually per standard schedule