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In comparison, the GLP1-RA group had the fewest primigravid women, with the majority of women having experienced more than two previous pregnancies

Higher weight can add another layer of risk

Patients should be vigilant for symptoms such as a lump in the neck, persistent hoarseness, or difficulty swallowing and seek prompt medical assessment if these occur

We used R version 4.4.1 (R Foundation for Statistical Computing, Vienna, Austria) and the extension package meta for all calculations and graphics
