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Data availability All data used for this paper are publicly available and are provided in the main text and Supplementary Information

At approved weight-loss doses, caloric intake typically decreases in a consistent and measurable way

Patients need a multidisciplinary team approach, including dietary counseling and frequent visits to monitor and support their success

Although the exact etiology of increased pathogen colonization is not known, it is generally believed that a reduction in good bacteria level may facilitate the entry and colonization of pathogens inside the vagina