Holographic multiple-input multiple-output (HMIMO) has emerged as a promising technology for future wireless systems by enabling continuous electromagnetic (EM) field control over large apertures. However, user-side EM exposure has become an increasingly important concern in large-scale array systems. This paper addresses this issue by developing a multiuser uplink HMIMO model, where a physically consistent specific absorption rate (SAR) model is established to quantify the EM exposure. On this basis, a spectral efficiency (SE) maximization problem is addressed by developing a modified iterative water-filling algorithm. Simulation results demonstrate that the proposed algorithm effectively improves the system SE while satisfying the SAR constraints.

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