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Increased GH and IGF-1 may indirectly modulate gonadotropins and sex steroids to support ovulation and spermatogenesis, so track LH, FSH, testosterone, estrogen, progesterone, and SHBG to assess response
adequate hydration is important, especially given the potential for dehydration with semaglutide's GI effects
This article describes how semaglutide works
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