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Fasting insulin values were available in 28 participants, with insulin resistance, defined as high homeostatic model assessment for insulin resistance (HOMA-IR) 1.9 [15], being reported in 24 out of 28 cases (86%), while severe insulin resistance, defined as HOMA-IR exceeding 4, being recorded in 15 out of 28 participants (53.5%)

Science doesnt have an answer on this just yet, but it seems unlikely that Ozempic has a permanent effect on sex drive in most people

Nilsson et al

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We look forward to making this product available to patients in the U.S