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If this apparent difference between GLP-1 agonists is mediated by characteristics of exendin-4, a species-specific effect, or due to the dosage remains to be elucidated, as the included studies have only been performed in mice and in a small range of concentrations (14, 15)

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Obesity impairs fertility through hormonal disruption, anovulation in women, and reduced testosterone and sperm quality in men

In this scenario, compounding pharmacies, which are overseen at the state and federal level, would obtain active ingredients from FDA-registered manufacturers