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Although no explicit studies could be found, it is evident that unintended falling asleep, impaired attention and participation due to increased daytime sleepiness inhibit communication and social engangement, implying a bidirectional influence

Joint Bone Spine 2010;77:131-4.

The right choice depends on your individual health history, goals, side effect tolerance, and practical considerations

Declining estrogen and testosterone levels can lead to vaginal dryness, mood swings, sleep disturbances, and reduced sex drive

For post-bariatric patients, several of these are lifelong requirements, independent of the timing of surgery