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Ozempics effect on sex drive seems mainly a result of weight loss and improved blood sugar (glucose) regulation caused by the medication

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Because B12 is absolutely essential for the synthesis and maintenance of myelin, a deficiency can lead to the demyelination of the very autonomic nerves responsible for baroreceptor function

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Licensed UK weight loss medicines including orlistat, semaglutide (Wegovy), and naltrexone/bupropion (Mysimba) have no established direct effect on the menstrual cycle per their UK SmPCs

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