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The main adverse events reported by male AAS users to SERMs (clomiphene and tamoxifen) were decreased libido and erectile dysfunction (24%), acne (21%), fatigue (19%), mood disorders (13%), visual disturbances (5%), arthralgia (4%), insomnia (4%), and hot flushes (2%)
This study reviewed benefits and harms in people with diabetes, and so it is not certain that the same results would be achieved by treatment with GLP-1s for obesity without diabetes
Labs for Creatinine and Hemoglobin A1C can be easily self-ordered and done locally at Ulta Lab Tests associated with Labcorp
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