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Potential indirect mechanisms that could theoretically influence libido include: Nutritional deficiencies if caloric restriction is excessive Fatigue or low energy during the initial treatment phase Hormonal fluctuations associated with adipose tissue loss Psychological adjustment to body image changes Patients should be reassured that sexual side effects are not a recognised feature of Wegovy therapy, but any persistent concerns warrant clinical evaluation to exclude other contributing factors

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Semaglutide tends to be preferred for patients prioritizing the lower-cost option, patients who want the longer real-world safety track record (semaglutide has been on the market longer), and patients with insurance coverage that favors Wegovy or Ozempic

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Because semaglutide reduces portion sizes, every bite must count: prioritize protein sources (eggs, salmon, Greek yogurt, beef) that naturally contain B vitamins and minerals

Product access and compounding rules shift over time, so verify source, sterility, concentration, and current rules before any vial-based dosing under clinician supervision. Concentration equals vial milligrams divided by BAC water milliliters