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To complicate things, some findings have reported that GLP-1 RAs might reduce testosterone pulses (the natural rhythm in how testosterone is released) or delay recovery of sperm functionality after stopping the medication. One small study in animals suggested that liraglutide impaired semen parameters temporarily, though sperm quality seemed to improve after stopping the drug

Fasting levels stay lower because of metformin

Its use also lowers the risk of complications such as kidney disease, neuropathy, and retinopathy by reducing glycemic stress over time

Many patients find direct payment more affordable than high-deductible insurance claims

Note down your fasting and post-prandial blood sugar levels daily and keep the record in an app or diary