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What to watch for: New leakage when coughing, sneezing, laughing, or exercising (stress incontinence) Increased urgency or frequency that wasn't present before starting the medication Worsening of existing incontinence symptoms, particularly alongside constipation Practical steps: Start or continue pelvic floor exercises (Kegels) while on GLP-1 medications -- strengthening the pelvic floor proactively is the best defense against these changes Manage constipation aggressively -- fiber, hydration, and movement all help

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Administration decisions are clinician-guided

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