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The body is responding to a powerful metabolic intervention on multiple fronts simultaneously, and understanding the full side effect landscape helps put sexual changes in proper context

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Time of day is flexible

It may also help those living with type 2 diabetes, prediabetes, or polycystic ovary syndrome (PCOS)

If you experience blood sugar symptoms during the night or first thing in the morning, such as shakiness, confusion, sweating, or unusual hunger, have a small snack ready

Increasing medication unnecessarily may expose some patients to additional side effects without providing significantly better long-term results