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Watch for these patterns: Your interest in sex dropped noticeably within the first few weeks of starting medication You feel too tired or nauseous for intimacy, especially on dose-escalation days Your desire returned during a break from the medication You notice other hormonal symptoms: hair thinning, mood changes, fatigue, or muscle loss Your partner has noticed a change in your level of interest or responsiveness None of these signs on their own confirm the medication is the cause

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