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While ETD can affect hearing quality, it is distinct from sensorineural hearing loss, which involves damage to the inner ear or auditory nerve.PubMed Limitations of Self-Reported Data Its important to note that data on adverse events often come from self-reports, which can have limitations: Underreporting: Not all patients experiencing side effects report them, leading to potential underestimation of their frequency. Subjectivity: Symptoms like hearing changes can be subjective and vary in perception among individuals. Confounding Factors: Other factors, such as existing health conditions or concurrent medications, might contribute to hearing issues, making it challenging to attribute the cause solely to semaglutide. Comparative Context: General Population Rates Hearing loss is relatively common, especially among older adults

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