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At best, berberine can complement a healthy diet and lifestyle, not replace prescription medications

[22] Male Fertility : Early data suggest GLP-1s might improve sperm parameters and increase testosterone in obese males.[53] Note: GLP1-s can reduce the efficacy of oral contraceptives due to altered gastric emptying, resulting in accidental Ozempic babies

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We agree with commenters that this would result in several months not being included in the data calculations, effectively shortening the 12-month lookback period