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Constipationdefined as having fewer than three bowel movements per week, hard or dry stools, or difficulty or pain with passage of stoolis a recognized adverse effect of GLP-1 receptor agonists, though it occurs less frequently than nausea or diarrhea
PMID: 29939616
Technology appraisal guidance TA 664 National Institute for Health and Care Excellence (2015, updated 2022) NICE guideline: Type 2 diabetes in adults: management Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study
However, the combination of improved metabolic function from GLP-1 and hormonal support from HRT may produce better overall outcomes for perimenopausal women than either approach alone