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Indeed, a meta-analysis by Nreu et al

However, the review did not find a consistent, proven direct effect on libido outside of the influence on weight and hormones For healthy men: a study with 18 healthy men in the UK suggests that GLP-1 does not appear to directly affect sex drive or reproductive hormones in healthy men

It attempts to address the knowledge gaps and give a comprehensive understanding of the treatments long-term effects, resulting in better clinical decisions and patient outcomes

Blood tests show equivalent B12 status whether supplementing with cyanocobalamin or methylcobalamin at equal doses

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however, it is now recognized as a complex, multifactorial metabolic disease requiring long-term and individualized treatment strategies