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For patients taking Ozempic, it is important to inform the assessing clinician about all medications, as this provides context for the clinical picture

TB-500 is a synthetic fragment of the naturally occurring protein Thymosin Beta-4 (T4), found in almost all animal cells

These elevated estrogen levels trick your body into thinking you are pregnant and therefore prevent ovulation, and could lead to irregular menstrual cycles or even the complete absence of periods. Patients on Zepbound who lose fat may also lose excessive estrogen, potentially helping them return to a more normal cycle

He also recommends measuring a bioavailable and total testosterone lab every 3 months and going on compounded testosterone cream if bioavailable testosterone is less than 2.5 ng/dL