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Obesity is one factor that can lower testosterone, and losing weight can typically improve your levels, Dr Wierschem says

When the physical screaming of hunger is silenced by a GLP-1 and the mental chatter of cravings is calmed by topiramate, the choice to eat a healthy meal becomes much easier

When to Consider Alternative Formulations or Provider-Guided Adjustments If indigestion persists beyond 12 weeks or significantly impacts quality of life, discussing alternative approaches with your provider is appropriate