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For the oral formulation (Rybelsus) , strict adherence to administration instructions is essential for optimal absorption
Immediate endocrinology referral is warranted for patients with very low testosterone levels accompanied by normal or low LH/FSH, elevated prolactin, or symptoms such as headaches or visual disturbances that might suggest pituitary dysfunction
PMID: 15483206
But what would a conventional medicine doctor likely do if you come to them complaining of fatigue, brain fog, digestive issues, and/or muscle weakness
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