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When peptide levels fall or are imbalanced, sperm show more DNA fragmentation, lower progressive motility, and shorter viable lifespan

Poor tolerance of fats even if diet seems healthy. Skin issues (dry skin, pruritus), brittle nails, maybe hair thinning: often related to fat-soluble vitamin deficits

Nat Prod Commun 8:181182

Tirzepatide (Zepbound) in the multi-dose KwikPen only

Metabolic syndrome with elevated liver enzymes : Patients presenting with multiple metabolic risk factors (central obesity, hypertension, dyslipidemia, impaired fasting glucose) and persistently elevated ALT/AST may benefit from the comprehensive metabolic improvements offered by GLP-1 therapy