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The two main mechanisms are the direct increase in testosterone levels or suppression of the decrease in testosterone production due to testicular toxicity
Energy deficiency may be the leading cause of fatigue and intense hunger during the fasting period
Most patients feel appetite changes within the first two to three weeks the food noise quiets down and portions shrink on their own
This information is already included in the prescribing information in both the UK and the USA
This natural fluctuation reflects shifts in water retention, metabolism, hormonal cycles, and digestive timing rather than signaling treatment failure
When to Talk to a Healthcare Professional Theres no need to suffer through fatigue, especially in the long term
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