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For men, obesity may be associated with: Low testosterone and reduced muscle mass Fertility challenges, including lower sperm count and motility Sexual health issues, such as erectile dysfunction and decreased libido Metabolic conditions, including type 2 diabetes, insulin resistance, and hypertension Sleep apnea and cardiovascular risks, both of which impact long-term health When men lose excess weight, they often see improvements in testosterone levels

Therefore, it is very plausible that there are many unrecognized mechanisms through which the gut microbiota could impact gutbrain signaling pathways

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