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You start low and ramp up every 4 weeks to reduce stomach side effects

In some cases, yes but only under medical supervision

Starting weight, genetic variations in GLP-1 receptor function, age, muscle mass, and diet quality all influence speed

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The workup should include LH and FSH to distinguish primary from secondary hypogonadism, estradiol to assess aromatization status, SHBG to interpret free testosterone, prolactin to exclude a pituitary adenoma, and a metabolic panel