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This wave of benefit cuts may save insurers money on the surface, but at what cost

(2018) found that sertraline causes impaired the steroidogenesis of sex hormones in male rats through the direct inhibition of steroid synthesis and its indirect effects on gene expression, and plasma LH levels and LH/testosterone ratios were significantly increased, potentially triggering compensatory hypogonadism

When your levels are low, you might notice frequent fatigue or a "heavy" feeling in your digestion

Both medications support weight loss differently, so the best option depends on effectiveness, tolerability, cost, and medical suitability

Shared decision-making between patient and provider should weigh the medication's benefits against the burden of gastrointestinal adverse effects, exploring whether alternative GLP-1 receptor agonists or different therapeutic approaches might be better tolerated

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