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Bariatric surgery itself increases endogenous GLP-1 levels, particularly after RYGB, contributing to improved glycemic control and weight loss

Several things change the timeline

That small change made a big difference

Youre addressing a complication of psychiatric treatment that significantly impacts adherence, quality of life, and medical outcomes

For others, the safer first step may be labs, lifestyle counseling, treatment of sleep apnea, medication review, or addressing a medical driver of weight gain

Subjects underwent semen analysis at baseline and 3-months after therapy with semen being obtained by masturbation after a sexual abstinence of 3-5 days