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When to Discuss Alternatives With a Clinician Alternatives should be discussed when the goal involves a medical condition such as diabetic ulcers, hair loss, chronic wounds, inflammatory disease, scarring, or post-procedure recovery
Hard-boiled eggs (2): 140 cal, 12g protein
inferred from weight-loss magnitude and class data Testosterone effect in men / weight loss of 10%+ raises free testosterone by roughly 2 to 3 nmol/L in prior obesity trials SHBG change / adiposity reduction consistently raises SHBG, increasing bioavailable androgens Women / fat-mass loss of this magnitude can restore LH pulsatility and ovulatory cycles in hypothalamic amenorrhea PCOS relevance / GLP-1-class agents reduce androgen excess and improve menstrual regularity Cardiovascular link / erectile dysfunction shares endothelial risk factors
A large observational analysis presented at the ASMBS meeting suggested that bariatric surgery produced approximately 26.5% weight loss at two years compared with much lower real-world outcomes using GLP-1 medications
Accessed on May 14, 2025 at Trulicity [package insert]