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5.2 Hyperglycemia or Hypoglycemia with Changes in Insulin Regimen Changes in an insulin regimen (e.g., insulin strength, manufacturer, type, injection site or method of administration) may affect glycemic control and predispose to hypoglycemia [see Warnings and Precautions (5.3)] or hyperglycemia

Start with 0.25 mg once a week

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At the same time, a 2025 systematic review and meta-analysis found that GLP-1 receptor agonists actually increased total testosterone, luteinizing hormone, and follicle-stimulating hormone levels in men with overweight or obesity