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In men, excess adiposity is associated with decreased testosterone, increased estradiol from aromatization, impaired spermatogenesis, and erectile dysfunction

Patients with a history of gastric ulcers, severe acid reflux (GERD), or IBS should discuss coffee timing with their provideras should those taking concurrent medications that slow gastric motility

Yet, they're still tired, still brain-foggy, and coming in wondering, "Is it something else?" But when we do labs and put them on injections, they can notice the change almost immediately

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