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High insulin levels trigger excess testosterone production while reducing the proteins that normally keep hormones balanced

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[7] If you are considering or currently using weight loss medication, the following steps can help protect your hormonal health: Ensure adequate nutritional intake: Even when in a caloric deficit, aim to meet your requirements for key micronutrients, particularly iron, vitamin D, calcium, and B vitamins, which support both metabolic and reproductive health

Things like piles of vegetables, popcorn, fibrous foods, anything that took up space without a lot of calories. With appetite naturally lower on GLP-1s, that approach stops working