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Acknowledgments The authors gratefully acknowledge the Centre for Diabetes, School of Biomedical Sciences, Ulster University (UK)

Using PSM on age at index, BMI, metformin and statin exposure, BRCA mutation status, hormonal contraceptive use, parity, breastfeeding history, and smoking status, they identified 2 balanced cohorts: 74,354 GLP-1 RAexposed women and 74,355 controls (total n = 148,709)

Blood glucose effects: Some preliminary research suggests ashwagandha may have mild hypoglycemic properties, potentially lowering blood glucose levels, though evidence is limited and of low certainty

The Cochrane Risk of Bias tool was used to assess the quality of studies