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Their 2023 updated guidance on androgen excess states: "Patients prescribed antiandrogens including spironolactone should be counseled on medications, supplements, and lifestyle factors that could affect blood pressure or electrolyte balance, including alcohol consumption." This language signals awareness without providing a specific numeric threshold

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25 These measures reflect growing concern over the sustainability of widespread GLP1 use, especially as off-label demand continues to rise

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10.12659/MSMBR.883828 52 JeeJ