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This is a common question amongst patients prescribed semaglutide for type 2 diabetes

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Furthermore, MDA can directly interact with DNA, causing strand breaks and base modifications, thereby adversely affecting sperm DNA integrity and reducing fertilization potential (115, 116)

Many patients find that eating light meals (such as soup, broth, fruit, or lean protein) in the 1224 hours following injection helps their bodies adjust without fighting against the medication's appetite-suppressing effects

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All current evidence is from animal and cell studies there are no completed human trials for Dihexa itself