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Clinical Principle Appropriate manual physical therapy techniques (e.g., maneuvers that resolve pelvic, abdominal and/or hip muscular trigger points, lengthen muscle contractures, and release painful scars and other connective tissue restrictions), if appropriately trained clinicians are available, should be offered to patients who present with pelvic floor tenderness
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Still, this combination also introduces potential challenges: Potential for low blood sugar: Because GLP-1 medications affect insulin sensitivity and digestion, prolonged fasting can lead to fatigue, dizziness, or hypoglycemia
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