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The HPG axis functions through the pulse production of the gonadotropin-releasing hormone (GnRH) from the hypothalamus, which in the pituitary stimulates the production of the follicle-stimulating hormone (FSH), necessary for sperm production (spermatogenesis), and luteinizing hormone (LH), necessary for both testosterone production and spermatogenesis (11, 15)

Other common side effects include: Decreased appetite, which is partly the point but can become excessive Fatigue, especially in the first few weeks Injection site reactions like redness or mild swelling Belching and bloating Heartburn and acid reflux These are not rare edge cases