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In a 76yearold female, 4 ft 10 in, 216 lb, with a history of thoracic spinal fusion causing reduced thoracic volume, sleep apnea treated with CPAP and nocturnal oxygen, recent weight loss on semaglutide (Ozempic), intermittent SpO readings down to 88 % and progressive dyspnea, anemia risk, sedentary lifestyle, and chronic constipation, what are the possible and most likely causes of her low oxygen saturation and shortness of breath, and which specialist(s) should evaluate her?