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Pathogenesis is complex and often multifactorial: Hormonal & hemodynamic changes of pregnancy, pelvic outflow obstruction (NIVL, renal vein compression), valve incompetence (ovarian/internal iliac/obturator/GSV), & structural anomalies all play a role

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So that's why we need to really take the time to understand what this is

Tirzepatide: A novel, first-in-class, dual GIP/GLP-1 receptor agonist

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