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Semaglutide itself does not directly cause vaginal dryness, but the rapid fat loss it produces can reduce estrogen levels because adipose tissue produces estrogen through aromatization

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Candida brain fog sits on that same spectrum often less dramatic, but driven by similar chemistry: carbs feed yeast yeast ferments carbs into toxins and sometimes alcohol-like compounds the liver gets overwhelmed the brain feels dull, unsteady, or intoxicated Some patients reach the extreme of auto-brewery