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Total testosterone might drop, but if SHBG drops more, your biologically active free testosterone could actually be stable or even increase

Currently available GLP-1 receptor agonists in the United States include exenatide (Byetta, Bydureon BCise), liraglutide (Victoza, Saxenda), dulaglutide (Trulicity), semaglutide (Ozempic, Wegovy, Rybelsus), and tirzepatide (Mounjaro, Zepbound), though tirzepatide is technically a dual GIP/GLP-1 receptor agonist

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It starts well below the standard dose and increases in small increments over several months

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