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Neutering them before this happens is smart and will save you some agony
For patients with obesity or metabolic conditions, GLP-1 therapy is often the more clinically supported option

We measure serum vitamin B12 levels before starting and at follow-ups
If you have any questions about this, talk to your health care provider.
Definitely curbed my appetite I am only on week 2 but I have seen a loss in weight already

For women with hypothalamic amenorrhea or low gonadotropin states, kisspeptin can restore pulsatile GnRH drive and re-establish cycles