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Less Common but Notable Fatigue Some people experience tiredness, especially early on

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Whether these effects arise directly from GLP-1 receptor activation in testicular tissue or indirectly through systemic metabolic improvement remains unresolved

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Free Radical Research, 40 (5), 445453

However, as a branded medication, its availability is often subject to supply chain issues, which has led many individuals to seek alternative ways to access the same active ingredient