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If a GLP-1 medication is producing a persistent and significant decline in sexual function that does not respond to hormonal optimization or dose adjustment, that is a legitimate reason to discuss switching medications or modifying the treatment plan

Smoking: Nicotine is a stimulant and can interfere with sleep

In his Peptide Cheat Sheet, he recommends the following: 50mcg injected subcutaneously in the morning or 10-30 minutes before a workout, and within a 10 days on, 4 weeks off cycle

When I emailed to cancel on 1/25/2026, I got a response the next day saying it was officially cancelled, and then a second email on 1/29 saying cancellation was being processed. They also asked me to explain why I was cancelling before processing it, which was uncomfortable and unnecessary, especially over slow asynchronous messages