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Ekta Kapoor, associate Professor of Medicine at Mayo Clinic, writes women with a greater self-reported menopause symptom burden had higher cortisol levels, signifying greater physiological stress. This keeps women alert at night, contributing to longer stretches of wakefulness, non-restorative rest, a buildup of sleep debt and the lower quality of life that comes with extreme fatigue, in general

For some, there may also be instances of diarrhea or stomach cramps

"For both oral semaglutide and injectable semaglutide, your healthcare provider will start you off with lower doses so that your body adjusts to the medication

If sexual side effects are attributed to the medication, your doctor can discuss management strategies, which might include dose adjustment, addressing nutritional factors, or considering alternative therapies

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