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Description
1 Internal Medicine, CARIM, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands, 2 Biomedical Engineering, CARIM, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands, 3 Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands, 4 Internal Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, Netherlands, 5 Internal Medicine, Radboud University Medical Center, Nijmegen, Netherlands

How eligibility is evaluated in Willows intake-led flow Before intake submission: Willow limits eligibility messaging to general statements and does not provide pass/fail criteria on public pages

Specific situations warranting medical discussion include: Sudden or marked decrease in sexual desire that affects quality of life or relationships New onset of erectile dysfunction or difficulty achieving or maintaining arousal Changes in menstrual patterns, particularly irregular periods or amenorrhea Symptoms suggesting hormonal imbalance, such as fatigue, mood changes, or hot flashes Sexual dysfunction accompanied by other concerning symptoms like depression, severe fatigue, or relationship distress Any sexual health changes that cause significant personal concern, regardless of severity Seek immediate medical attention for these urgent symptoms: Severe, persistent abdominal pain (possible pancreatitis) Right upper quadrant pain with fever or yellowing of skin/eyes (possible gallbladder disease) Sudden vision changes (possible retinopathy complications) Signs of dehydration or decreased urination (possible acute kidney injury) New or worsening depression or suicidal thoughts (particularly with Wegovy) Your healthcare provider can conduct a thorough assessment to identify potential contributing factors
If you experience severe nausea, your smaller stomach offers less buffering, increasing the risk of dumping syndrome or aspiration

Genome Edit
Possibly, if you meet the BMI + comorbidity criteria
