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This approach recognizes both the clinical promise of GLP-1s and the practical realities of cost, sustainability, and long-term population health

Then it increases to a maintenance dose based on blood sugar response

Obesity is associated with reduced sperm count, decreased sperm motility, increased DNA fragmentation, and hormonal imbalances that impair fertility

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Most researchers find that gut-related side effects fade substantially after 8-12 weeks on a stable dose