A thorough and complete history should include: Male infertility risk factors such as a history of bilateral cryptorchidism, vasectomy, chemotherapy or radiation treatments, and chemical exposures Female infertility risk factors, including advanced female age (over 35 years) Reproductive history (Table 2) coital frequency and timing duration of infertility and prior fertility childhood illnesses and developmental history systemic medical illnesses (e.g., diabetes mellitus and upper respiratory diseases) sexual history including sexually transmitted infections gonadal toxin exposure including heat and testosterone Surgical history (with a focus on genitourinary and inguinal surgery) A review of medications (prescription and non- prescription) as many drugs can contribute to infertility Lifestyle exposures such as alcohol, marijuana, and tobacco use as well as vocational exposures Family reproductive history Physical exam As mentioned before, the physical exam is very important in the workup of a man with infertility, with particular focus on the genitourinary exam
Digestive Sensitivity: Some people are sensitive to high amounts of cruciferous vegetables
Many women (and men) in this membership are seriously considering GLP-1s to further lose weight
The shortage rule To understand why compounding pharmacists can make copies of semaglutide (the key ingredient in Ozempic and Wegovy) and tirzepatide (the key ingredient in Mounjaro and Zepbound), you have to understand the shortage rule
Ashwagandha for weight loss: Benefits, dosage, and how it works Ashwagandha acts as an adaptogen and may help with weight loss
It has a relatively short half-life, a strong ability to delay gastric emptying, and an affinity for GLP-1 receptor that is four times that of natural GLP-1
