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Metellus is with Geisinger Commonwealth School of Medicine in Scranton, Pennsylvania

Getting the dosage right is crucial to managing potential side effects and ensuring a smoother journey towards achieving your goals

Let me repeat that, zero studies looking at the impact of GLP-1 receptor agonist, and anything related to fertility or menstruation and women without PCOS, says Zaher Merhi, a reproductive endocrinologist with Rejuvenating Fertility Center and Albert Einstein College of Medicine

But the side effects that receive the least attention online are the ones that matter most to anyone considering it: significant lean muscle loss documented by DEXA scanning, dopamine suppression that can flatten mood and drive, and dosing decisions where the difference between 8 mg and 12 mg is roughly 1 percent more fat loss and approximately double the side effects