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While testosterone is associated with desire, the elevated testosterone in PCOS is often accompanied by such significant psychological distress, from symptoms like hirsutism and weight gain, that sexual desire suffers despite adequate hormonal levels
No surprises
Like Ozempic and others approved for diabetes, Mounjaro was often prescribed off-label to patients for weight loss
Both make dehydration worse
That gap between expectation and physiology is precisely where protocols fail, not because the biology did nothing but because expectations were never set
Tucci, S
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