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Not only that, but sun exposure is a contributor to hyperpigmentation

Unlike natural age-related muscle loss or weight fluctuations from diet and exercise, Ozempic feet is primarily driven by rapid fat loss, including some contribution from muscle loss

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The propensity score was estimated using logistic regression as the probability of starting a GLP1 receptor agonist versus a DPP4 inhibitor conditional on a number of variables, including sociodemographic characteristics, medical history, other diabetes treatment, and markers of healthcare use, at cohort entry and stratified by country (etable 3)