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Although moderate alcohol intake is not likely to impact fertility, heavy alcohol use is toxic to sperm and daily alcohol use has been linked to reduced male fertility
Not a dramatic one
Tesamorelin is a synthetic GHRH analogue licensed solely for HIV-associated lipodystrophy in the US and holds no MHRA authorisation for any indication in the UK
This is particularly stressed in the latest consensus report by the ADA and EASD, 56 in which GLP-1 RAs are generally recommended as the first injectable therapy and the presence of heart disease, kidney disease and obesity are co-factored in the selection of antidiabetic agents
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