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That is a substantial rate for a side effect that neither semaglutide nor tirzepatide produces at any meaningful frequency

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The metabolic actions of GLP-1 to control insulin, glucagon, glucose, and body weight are mediated by a single widely expressed GLP-1R (7, 8)

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Peptides such as kisspeptin-10 may directly stimulate the function of the HPG-axis and increase testosterone levels, thereby improving erections