Given that fertility involves both partners, the mans weight loss and health improvement on a GLP-1 RA may actually increase the couples chance of conception (and certainly will improve his overall health)
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In patients with obesity, significant weight reduction achieved with GLP-1 therapy has been associated with improvements in sex hormone-binding globulin (SHBG) levels, reductions in free testosterone in women with hyperandrogenism, and normalization of menstrual cycles in some individuals with polycystic ovary syndrome (PCOS)
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If you are taking antidiabetic medications, blood pressure medications, thyroid medications, or immunosuppressants, inform your provider before starting ashwagandha, as potential indirect effects on these conditions have been documented in small studies