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53 Since the majority of cells express ERs, estrogen actions influence almost all tissues and are responsible for: a) homeostatic regulation, b) cell proliferation and apoptosis, c) liver protein expression, d) lipid metabolism, e) energy balance, f) glucose metabolism, g) immune and cardiovascular alterations, h) gonadotrophin feedback and gametogenesis, i) brain-neuronal development/memory processing and repair/neurodegeneration, j) bone growth, etc., 7,15,53,60 including estrogens positive (agonist) or negative (antagonist) actions on skin, especially in women
GLP-1 medications often flatten glucose curves, but individual responses vary
R.DeMartinoA
While neither source links dehydration to vaginal dryness specifically, systemic dehydration can plausibly worsen mucosal dryness and irritation symptoms in susceptible individuals, particularly where baseline genitourinary syndrome of menopause or vulvar dermatoses exist
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