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A condition called NAION has been linked to semaglutide, though European regulators confirm it is very rare

Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. Santen, R.J., et al

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Thus, it proves that lifestyle and environmental factors have a detrimental effect on sperm quality due to the overproduction of free radicals (118)

GI side effects from both drugs can overlap, making it harder to identify which medication is causing which symptom