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Name: is metformin glp 1 Sex Hormones and Type 2 Diabetes Treatment: How and GLP-1 agonists may work differently in women Frontiers | Understanding the action
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A blood test is the most reliable way to confirm whether B12 deficiency is a contributing factor

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The presence of these autoantibodies can further exacerbate local inflammation, creating a vicious cycle that not only impairs spermatogenesis but may also have systemic effects, potentially leading to broader reproductive dysfunction (67)