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They demonstrated that losing weight may have a greater impact on androgens compared to improving glycemic control, particularly in the groups with liraglutide and dulaglutide, and with dapaglifozin ( Although in healthy subjects the acute effect of GLP-1 infusion has led to contradictory results ( Studies using a high-fat diet (HFD) induced obesity mice model characterized by decreased serum T levels, impaired sperm quality, and increased testis inflammation, showed that exenatide administration was able to reduce body weight and improve the quality of sperm without increasing serum T levels but lowering the expression of proinflammatory cytokines ( Overall, these data support the use of GLP1-RAs in functional hypogonadism in the context of obesity or T2DM

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Is it because out of pocket costs, which shouldnt be right, because of Affordable Care Act, you know, the Inflation Reduction Act should have taken all of those things away, and patients should not have any out of pocket costs