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24,25 One study demonstrated significantly reduced sperm count, motility and morphology in men with T2DM compared with controls, independent of BMI

2 The American Diabetes Association 2016 guideline details a number of second-line options for use following MET and does not give preference to one drug class over the other

Comparative metabolic effects of GLP-1 vs dual-agonist therapies

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Sleep and stress management Poor sleep and chronic stress both promote weight regain through hormonal mechanisms
