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What helps: Pelvic floor physical therapy Vaginal lubricants + topical estrogen Slower weight loss / less aggressive dosing (talk to your prescriber) Resistance training for core + pelvic support If something feels off, this is an appointment not a Reddit confession

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Accessed March 30, 2026.

Two weeks before surgery Stop drinking alcohol Its well established that alcohol is neurotoxic and should be avoided for those with cognitive decline or wishing to optimize their brain health