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Menopause and hormonal shifts: Hormonal changesespecially declining estrogencan slow metabolism, increase fat storage, and reduce muscle mass, all of which make weight loss harder

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Current evidence does not support withholding Ozempic solely based on autoimmune disease history, but individualised risk-benefit assessment remains essential

They urged doctors to prescribe the treatments only in line with their approved uses and in particular to avoid prescriptions for cosmetic weight loss