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HIPAA compliance is maintained throughout, and board-certified physicians write all prescriptions

Assessment and history A structured history should aim to distinguish (a) true vaginal mucosal symptoms, (b) vulvar dermatologic disease, (c) urinary tract symptoms, and (d) sexual function/arousal issues

Tirzepatide has a lower rate of nausea and vomiting compared to Semaglutide, likely due to the presence of GIP, which helps mitigate gastrointestinal discomfort

Adequate calcium and vitamin D supplementation, weight-bearing exercise as tolerated (even walking counts), and baseline and follow-up DEXA scans to track bone density objectively

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