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Visible weight loss begins within 3-4 weeks, with most patients losing 5-10 lbs in the first month
Extremes matter: patients under 50 kg often do well at the lower end, patients over 100 kg may sit at the upper end of standard ranges
Strength drops
Combine this with the metabolic stress of rapid weight loss, and many men experience significant drops in testosterone that manifest as fatigue, loss of libido, mood disturbances, and accelerated muscle loss
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