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It should only be done under the supervision of a qualified healthcare provider

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When used in patients experiencing lower GI symptoms while taking GLP-1 medications, ARM allows clinicians to: Differentiate between drug-related motility effects and true pelvic floor dysfunction Quantify the severity of anorectal dysfunction to support diagnosis and treatment planning Establish a baseline prior to initiating biofeedback or behavioral therapy Monitor progress if conservative management is pursued Persistent Constipation in GLP-1 Users ARM can determine if dyssynergic defecation is contributing to delayed evacuation, guiding appropriate therapy beyond simply adjusting medication

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rather, the hormonal changes resulting from rapid weight reduction disrupt the hypothalamic-pituitary-ovarian axis, leading to irregular periods or amenorrhoea