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The study assesses the integration of climate adaptation into energy efficiency projects in the Baltic Sea Region, finding that mitigation and adaptation are largely treated as separate policy areas. While new buildings more frequently implement adaptation measures above minimum standards, retrofitted buildings primarily focus on mitigation. The report identifies key synergies, such as green roofs and automated indoor climates, but notes that their implementation is often ad hoc rather than planned. Significant barriers include a lack of legal requirements, funding gaps, and limited awareness among developers.