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If you wanna get hormone replacement therapy, I think it's a good idea to have baseline labs and to track labs when you're doing therapy

Effect of exenatide, sitagliptin, or glimepiride on beta-cell secretory capacity in early type 2 diabetes

This medication is an antagonist of the estrogen receptor, and leads to increased testosterone production due to the estrogen negative feedback loop

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Some patients report improvements in sleep, recovery, or energy within weeks, while others experience more gradual changes